River City Dental, LLC
River City Dental, LLC is a healthcare organization registered as General Practice Dentistry in Saint Cloud, MN, holding Type 2 (organization) NPI 1356411417 since 2006. The authorized official on file is Dedric Mcbroom, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356411417 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | River City Dental, LLC |
| Practice address | 1201 MAINE PRAIRIE RD, Saint Cloud, MN, 56301 |
| Phone | 3202526233 |
| Fax | 3202529261 |
| Enumeration date | 2006-11-08 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Dedric Mcbroom |
|---|---|
| Title | Owner |
| Phone | 3202526233 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: River City Dental, LLC NPI: 1356411417 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1201 MAINE PRAIRIE RD, Saint Cloud, MN, 56301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124198254 | Aaron Imdieke | Individual | General Practice Dentistry | Saint Cloud, MN |
| 1871663914 | Dedric Mcbroom | Individual | General Practice Dentistry | Saint Cloud, MN |
Verify this record
Cross-check NPI 1356411417 against the authoritative CMS record: view River City Dental, LLC 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 River City Dental, LLC?
What is the NPI number for River City Dental, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.