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

Family and Cosmetic Gentle Dentistry

Organization General Practice Dentistry · NPI 1164803177

Family and Cosmetic Gentle Dentistry provides General Practice Dentistry in Wayzata, Minnesota. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1421 Wayzata Blvd Ste 320
Wayzata, MN 55391-1939 Not confirmed with CMS for 11 years — call before visiting
Phone: (952) 224-9774
Fax: (952) 224-9791
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1164803177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Bodin — Dentist · (952) 224-9774
NPI enumeratedJune 16, 2015
Last updated in NPPESJune 16, 2015
Mailing address4100 Shoreline Dr, Suite 4, Spring Park, MN 55384-4508

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