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

Central Minnesota Pediatric Dentists PA

Organization Dentist · NPI 1265873707

Central Minnesota Pediatric Dentists PA provides Dentist services in Big Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

570 Humboldt Dr Ste 102
Big Lake, MN 55309-4844 Not confirmed with CMS for 13 years — call before visiting
Phone: (320) 253-0272
Fax: (320) 251-2661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D11073 (MN)
Dentist Taxonomy 122300000X · Licence D7765 (MN)
Pediatric Dentistry Taxonomy 1223P0221X · Licence D11344 (MN)
Pediatric Dentistry Taxonomy 1223P0221X · Licence D12885 (MN)

Record details

NPI number1265873707
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Steil — Partner/Owner · (320) 253-0272
NPI enumeratedJuly 12, 2013
Last updated in NPPESJuly 12, 2013
Mailing address1900 Centracare Cir Ste 350, Saint Cloud, MN 56303-5000

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