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Mn Dental Service Providers LLC

Oral and Maxillofacial Surgery (Dentist) in Coon Rapids, MN · enumerated 2024 · authorized official Charlotte Dasch, Director of Cred and Pr.

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

National Provider Identifier

1962242719

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Registry record

Entity type Organization (Type 2)
Legal business name Mn Dental Service Providers LLC
Parent organization Mn Dental Service Providers LLC
Practice address 3833 Coon Rapids Blvd Nw Ste 220, Coon Rapids, MN, 55433
Enumeration date May 29, 2024
Last updated in NPPES May 29, 2024

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Charlotte Dasch
Title Director of Cred and Pr

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-29. Verify at npiregistry.cms.hhs.gov.
Where is Mn Dental Service Providers LLC located?
The practice location on file with NPPES is in Coon Rapids, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-29.