Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Edgar Mantilla, DDS

Individual provider General Practice Dentistry · NPI 1538177944

Edgar Mantilla, DDS practises General Practice Dentistry in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

2001 Bloomington Ave S
Minneapolis, MN 55404-3074 Not confirmed with CMS for 12 years — call before visiting
Phone: (612) 301-3433
Fax: (612) 627-4205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D11889 (MN)

Record details

NPI number1538177944
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESOctober 24, 2014

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