Pdb, DDS, PA
Pdb, DDS, PA is a healthcare organization registered as Dental Clinic/Center in Maple Grove, MN, holding Type 2 (organization) NPI 1942809637 since 2020. The authorized official on file is Paul Boettner, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1942809637 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pdb, DDS, PA |
| Practice address | 12736 BASS LAKE RD, Maple Grove, MN, 55369 |
| Phone | 7635592082 |
| Enumeration date | 2020-10-22 |
| Last updated in NPPES | 2020-10-22 |
Authorized official
| Name | Paul Boettner |
|---|---|
| Title | Ceo |
| Phone | 7634766774 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Pdb, DDS, PA NPI: 1942809637 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 12736 BASS LAKE RD, Maple Grove, MN, 55369
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003874462 | Richard Topel | Individual | Dentist | Maple Grove, MN |
| 1679660344 | Michael Sievert | Individual | Dentist | Maple Grove, MN |
| 1033424403 | Sara Smith | Individual | General Practice Dentistry | Maple Grove, MN |
| 1134807134 | Kayla Blanek | Individual | General Practice Dentistry | Maple Grove, MN |
Verify this record
Cross-check NPI 1942809637 against the authoritative CMS record: view Pdb, DDS, PA 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 Pdb, DDS, PA?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-10-22.