John D. Nydahl, DDS, P. A.
John D. Nydahl, DDS, P. A. is a healthcare organization registered as Dental Clinic/Center in Saint Cloud, MN, holding Type 2 (organization) NPI 1174547855 since 2006. The authorized official on file is John Nydahl, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174547855 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | John D. Nydahl, DDS, P. A. |
| Practice address | 1011 2ND ST N STE 101, Saint Cloud, MN, 56303 |
| Phone | 3202530744 |
| Fax | 3202539930 |
| Enumeration date | 2006-07-27 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | John Nydahl |
|---|---|
| Title | President |
| Phone | 3202530744 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | D8204 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55162NY | Other | MN | BLUE CROSS BLUE SHIELD |
| D8204 | Other | MN | DELTA DENTAL |
Copy-ready billing details
Provider: John D. Nydahl, DDS, P. A. NPI: 1174547855 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 1011 2ND ST N STE 101, Saint Cloud, MN, 56303
Verify this record
Cross-check NPI 1174547855 against the authoritative CMS record: view John D. Nydahl, DDS, P. A. 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
Who is the authorized official for John D. Nydahl, DDS, P. A.?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.