Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tyler J Koivisto, DDS

Individual provider Dentist · NPI 1588002430

Dr. Tyler J Koivisto, DDS is a Dentist in White Bear Lake, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1430 Highway 96
White Bear Lake, MN 55110
Phone: (651) 426-9502
Fax: (651) 653-2158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D13236 (MN)

Record details

NPI number1588002430
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 12, 2013
Last updated in NPPESJuly 21, 2022
Mailing address1430 Highway 96, White Bear Lake, MN 55110

Other providers in White Bear Lake