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

Stillwater Modern Dentistry PC

Organization General Practice Dentistry · NPI 1629774138

Stillwater Modern Dentistry PC provides General Practice Dentistry in Oak Park Heights, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13331 60th St N
Oak Park Heights, MN 55082-1287
Phone: (651) 352-4629
Fax: (651) 359-2935
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 number1629774138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Koehler — Owner · (651) 352-4629
Other names Stillwater Modern Dentistry
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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