Advanced Dental Care Services
Advanced Dental Care Services is a healthcare organization registered as General Practice Dentistry in Mound, MN, holding Type 2 (organization) NPI 1083788574 since 2006. The authorized official on file is Mazen Manla, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083788574 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advanced Dental Care Services |
| Practice address | 2363 COMMERCE BLVD, Mound, MN, 55364 |
| Phone | 9524721182 |
| Enumeration date | 2006-11-17 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Mazen Manla |
|---|---|
| Title | Dentist |
| Phone | 9524721182 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | D 11855 | MN |
Copy-ready billing details
Provider: Advanced Dental Care Services NPI: 1083788574 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 2363 COMMERCE BLVD, Mound, MN, 55364
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447324926 | Mazen Manla | Individual | General Practice Dentistry | Mound, MN |
Verify this record
Cross-check NPI 1083788574 against the authoritative CMS record: view Advanced Dental Care Services on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Advanced Dental Care Services?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.