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

Family Dental Clinic, PA

Organization General Practice Dentistry · NPI 1861546111

Family Dental Clinic, PA provides General Practice Dentistry in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
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

4454 Chicago Ave
Minneapolis, MN 55407-3522
Phone: (612) 823-6262
Fax: (612) 823-6783
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D7605 (MN)

Record details

NPI number1861546111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Sorenson — President · (612) 823-6262
NPI enumeratedJanuary 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4454 Chicago Ave, Minneapolis, MN 55407-3522

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