STILLWATER DENTISTRY PLLC NPI 1154830602

NPI Information

  • NPI: 1154830602
  • Provider Name: STILLWATER DENTISTRY PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1963 ROBERT ST S STE 100
    WEST ST PAUL, MN
    ZIP 55118
  • Phone: (651) 321-1007

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NPI Details

STILLWATER DENTISTRY PLLC is a general practice dentist in West St Paul, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. STILLWATER DENTISTRY PLLC NPI is 1154830602. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1963 ROBERT ST S STE 100
WEST ST PAUL, MN
ZIP 55118-942
Phone: (651) 321-1007

The provider's authorized official is Hassan Ismail .
The authorized official title is Owner and has the following contact phone number (651) 321-1007.

The enumeration date for this NPI number is 9/28/2017 and was last updated on 9/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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