Excelsior Dental Care
Excelsior Dental Care is a healthcare organization registered as Point of Service in Baxter, MN, holding Type 2 (organization) NPI 1124456421 since 2013. The authorized official on file is Stacy Hillman, Front Desk Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124456421 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Excelsior Dental Care |
| Practice address | 7814 EXCELSIOR RD, Baxter, MN, 56425 |
| Phone | 2188298863 |
| Fax | 2188298863 |
| Enumeration date | 2013-10-23 |
| Last updated in NPPES | 2013-10-23 |
Authorized official
| Name | Stacy Hillman |
|---|---|
| Title | Front Desk Manager |
| Phone | 2188298863 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305S00000X | Point of Service | Primary | 9105 | MN |
Copy-ready billing details
Provider: Excelsior Dental Care NPI: 1124456421 Taxonomy: 305S00000X (Point of Service) Address: 7814 EXCELSIOR RD, Baxter, MN, 56425
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407814445 | Clark Zard | Individual | Dentist | Baxter, MN |
| 1295229680 | Elliot Larson | Individual | Endodontics | Baxter, MN |
Verify this record
Cross-check NPI 1124456421 against the authoritative CMS record: view Excelsior Dental Care 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 type of organization is Excelsior Dental Care?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-10-23.