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Prairie Dental Group

General Practice Dentistry in Eden Prairie, MN · enumerated 2009 · authorized official Caryl Leach, Administrator.

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

National Provider Identifier

1104057975

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Registry record

Entity type Organization (Type 2)
Legal business name Prairie Dental Group
Practice address 6608 Flying Cloud Dr, Eden Prairie, MN, 55344
Phone (952) 903-5000
Fax (952) 944-0642
Enumeration date Jul 28, 2009
Last updated in NPPES Jul 28, 2009

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary

Authorized official

Name Caryl Leach
Title Administrator
Phone (952) 903-5000

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

Who is the authorized official for Prairie Dental Group?
NPPES lists Caryl Leach (Administrator) as the authorized official for this organization.
What is the NPI number for Prairie Dental Group?
The NPI for Prairie Dental Group is 1104057975, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-07-28.