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

University of Minnesota Pediatric Dental Clinic

Organization Dentist · NPI 1992075287

University of Minnesota Pediatric Dental Clinic provides Dentist services in Minneapolis, Minnesota. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

701 25th Ave S Ste 400
Minneapolis, MN 55454-1513 Not confirmed with CMS for 13 years — call before visiting
Phone: (651) 659-4900
Fax: (651) 659-4901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1992075287
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUmphysicians
Authorized official Mary Johnson — Coo · (612) 884-0802
NPI enumeratedJanuary 4, 2012
Last updated in NPPESJune 5, 2013
Mailing address701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513

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