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

Champlin Family Dental PA

Organization General Practice Dentistry · NPI 1992818751

Champlin Family Dental PA provides General Practice Dentistry in Champlin, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
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

12233 Champlin Dr
Champlin, MN 55316 Not confirmed with CMS for 11 years — call before visiting
Phone: (763) 323-0678
Fax: (763) 323-9102
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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 9624 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 11195 (MN)

Record details

NPI number1992818751
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Bauer — Dentist · (763) 323-0678
NPI enumeratedAugust 16, 2006
Last updated in NPPESApril 22, 2015
Mailing address12233 Champlin Drive, Champlin, MN 55316

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