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

Miracle Mile Dentistry PA

Organization Dentist · NPI 1417340563

Miracle Mile Dentistry PA provides Dentist services in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5806A W 36th St
St Louis Park, MN 55416-5108 Not confirmed with CMS for 11 years — call before visiting
Phone: (952) 929-5292
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X (MN)

Record details

NPI number1417340563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Dunlavey — President · (612) 799-7525
Other names 36th Street Dental
NPI enumeratedMarch 13, 2015
Last updated in NPPESMarch 13, 2015
Mailing address5806a W 36th St, St Louis Park, MN 55416-5108

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