Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Gracie Isabella Comeau

Dental Therapist in Andover, MN · enumerated 2023 · practices at Custom Smiles Dentistry, Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114627205

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Registry record

Entity type Individual (Type 1)

Name Gracie Isabella Comeau

Sex Female

Practice address 2258 Bunker Lake Blvd Nw, Andover, MN, 55304

Phone (793) 390-8995

Enumeration date Mar 7, 2023

Last updated in NPPES Jun 21, 2023

Taxonomy & licenses

124Q00000X Dental Hygienist Dental Providers · License H11422 (MN) Secondary

125J00000X Dental Therapist Dental Providers · License DT164 (MN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1114627205 active?

Yes, as of the latest NPPES snapshot, NPI 1114627205 is active (record last updated 2023-06-21).

How do I verify Gracie Comeau's NPI record?

Cross-check NPI 1114627205 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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Custom Smiles Dentistry, Pllc Dental Clinic/Center · Andover, MN NPI 1528678497

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-21.