PRAIRIE DENTAL GROUP – General Practice Dentistry, NPI 1104057975

PRAIRIE DENTAL GROUP is a healthcare provider. based in Eden prairie, Minnesota. specializing in General Practice Dentistry. The NPI Number for PRAIRIE DENTAL GROUP is 1104057975

Main info

Organization
Name
PRAIRIE DENTAL GROUP
NPI
1104057975
Phone
(952) 903-5000
Address
6608 FLYING CLOUD DR
Authorized Official
MS. CARYL LEACH ADMINISTRATOR
Enumeration Date
28 July 2009
Last Update Date
28 July 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:16State licenses:0Digital endpointsOther names

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Provider Addresses for PRAIRIE DENTAL GROUP

  • 6608, Flying Cloud Drive, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    EDEN PRAIRIE, MN 553443381

    Phone: (952) 903-5000

    Fax: (952) 944-0642

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55344)

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Reviews

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Frequently asked questions

Does PRAIRIE DENTAL GROUP share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PRAIRIE DENTAL GROUP uses 1104057975.
Is PRAIRIE DENTAL GROUP listed as active for patients and plans?
The listing shows PRAIRIE DENTAL GROUP as active in the NPI system.
What healthcare role does PRAIRIE DENTAL GROUP hold?
Scheduling teams often label PRAIRIE DENTAL GROUP under General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Where is PRAIRIE DENTAL GROUP based?
PRAIRIE DENTAL GROUP is tied to Eden Prairie, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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