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

Northeast Dental, PA

Organization General Practice Dentistry · NPI 1043435951

Northeast Dental, PA provides General Practice Dentistry in Saint Paul, 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

4520 Centerville Rd
Saint Paul, MN 55127-3602
Phone: (651) 426-4799
Fax: (651) 426-8106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7820 (MN)

Record details

NPI number1043435951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Keifer — President · (651) 426-4799
NPI enumeratedApril 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4520 Centerville Rd, Saint Paul, MN 55127-3602

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