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4th Avenue Dental, PA, Dba Oak Park Dental

General Practice Dentistry in Pine City, MN · enumerated 2014 · authorized official Alicia Ascheman, Supervisor/Owner.

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

National Provider Identifier

1609298355

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Registry record

Entity type Organization (Type 2)
Legal business name 4th Avenue Dental, PA, Dba Oak Park Dental
Practice address 505 Johnson Ave Se, Pine City, MN, 55063
Phone (320) 629-2282
Fax (320) 629-3357
Enumeration date Jan 15, 2014
Last updated in NPPES Jan 15, 2014

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License D11935 (MN) Primary

Authorized official

Name Alicia Ascheman
Title Supervisor/Owner
Phone (320) 629-2282

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

What type of organization is 4th Avenue Dental, PA, Dba Oak Park Dental?
4th Avenue Dental, PA, Dba Oak Park Dental is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-15.