Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Custom Smiles Dentistry, Pllc

Dental Clinic/Center in Andover, MN · enumerated 2020 · authorized official Pao Chua Vang, Dentist.

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

National Provider Identifier

1528678497

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Registry record

Entity type Organization (Type 2)

Legal business name Custom Smiles Dentistry, Pllc

Practice address 2258 Bunker Lake Blvd Nw, Andover, MN, 55304

Phone (763) 390-8995

Fax (763) 390-8999

Enumeration date Aug 5, 2020

Last updated in NPPES Aug 5, 2020

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Pao Chua Vang

Title Dentist

Phone (763) 390-8995

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 → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-05. Verify at npiregistry.cms.hhs.gov.

Where is Custom Smiles Dentistry, Pllc located?

The practice location on file with NPPES is in Andover, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-05.