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

Great River Dental PA

Organization General Practice Dentistry · NPI 1811972292

Great River Dental PA provides General Practice Dentistry in Saint Paul, Minnesota. Registered with an NPI since 2005.

In the registry since
2005
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

375 Jackson St
Saint Paul, MN 55101-1810
Phone: (651) 222-0983
Fax: (651) 265-8036
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 number1811972292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Rozinka — Owner · (651) 222-0986
NPI enumeratedDecember 8, 2005
Last updated in NPPESAugust 22, 2020
Mailing address375 Jackson St, Saint Paul, MN 55101-1806

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