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

Smisek Family Dentistry PA

Organization General Practice Dentistry · NPI 1457570194

Smisek Family Dentistry PA provides General Practice Dentistry in Shoreview, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
2
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

501 Tanglewood Dr
Shoreview, MN 55126-2016 Not confirmed with CMS for 18 years — call before visiting
Phone: (651) 483-6747
Fax: (651) 483-1863
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 9783 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7909 (MN)

Record details

NPI number1457570194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Smisek — President Smisek Family Dentistry · (651) 483-6747
NPI enumeratedApril 24, 2007
Last updated in NPPESJuly 17, 2008
Mailing address501 Tanglewood Dr, Shoreview, MN 55126-2016

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