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

Dental South PA

Organization Dentist · NPI 1558431890

Dental South PA provides Dentist services in South St Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

800 Marie Ave
South St Paul, MN 55075
Phone: (651) 451-1277
Fax: (651) 455-8488
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9619 (MN)

Record details

NPI number1558431890
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDental South PA
Authorized official Michael Prueher — Owner/Dentist · (651) 451-1277
NPI enumeratedNovember 8, 2006
Last updated in NPPESDecember 2, 2019
Mailing address800 Marie Avenue, South St Paul, MN 55075

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