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

Licensed Dental Hygiene Care

Organization General Practice Dentistry · NPI 1912303777

Licensed Dental Hygiene Care provides General Practice Dentistry in Edina, Minnesota. Licensed in Colorado and Minnesota. Registered with an NPI since 2014.

Licensed in
CO, MN
In the registry since
2014
Specialties on file
2

Practice location Address checks out

5201 Eden Ave Ste 50
Edina, MN 55436-2316 Not confirmed with CMS for 11 years — call before visiting
Phone: (763) 545-7545
Fax: (952) 929-2067
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 D12696 (MN)
Voluntary or Charitable Agency Taxonomy 251V00000X · Licence 20071454175 (CO)

Record details

NPI number1912303777
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Vacha — Executive Director · (763) 545-7545
Other names Senior Mobile Dental Minnesota Ltd
NPI enumeratedNovember 6, 2014
Last updated in NPPESNovember 7, 2014
Mailing address5201 Eden Ave, Suite 50, Edina, MN 55436-2316

Other providers in Edina