MAHTOMEDI DENTAL CLINIC – General Practice Dentistry, NPI 1326284597

MAHTOMEDI DENTAL CLINIC is a healthcare provider. based in Mahtomedi, Minnesota. specializing in General Practice Dentistry. The organization holds a License No. 8217 (MN). The NPI Number for MAHTOMEDI DENTAL CLINIC is 1326284597

Main info

Organization
Name
MAHTOMEDI DENTAL CLINIC
NPI
1326284597
Phone
(651) 426-0011
Address
814 MAHTOMEDI AVE
Authorized Official
DR. TIMOTHY A BRAY OWNER / DENTIST
Enumeration Date
18 December 2008
Last Update Date
18 December 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for MAHTOMEDI DENTAL CLINIC

  • 814, Mahtomedi Avenue, Mahtomedi, Washington County, Minnesota, 55115, United States

    MAHTOMEDI, MN 551151730

    Phone: (651) 426-0011

    Fax: (651) 426-2075

    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 55115)

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Frequently asked questions

What is the standard ID for MAHTOMEDI DENTAL CLINIC in the U.S.?
In the U.S., MAHTOMEDI DENTAL CLINIC is identified by NPI 1326284597.
Is MAHTOMEDI DENTAL CLINIC's NPI status active today?
Active status means MAHTOMEDI DENTAL CLINIC's NPI record is not deactivated in the public file.
What services align with MAHTOMEDI DENTAL CLINIC's listing?
MAHTOMEDI DENTAL CLINIC's public classification highlights General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What city is tied to MAHTOMEDI DENTAL CLINIC?
The directory associates MAHTOMEDI DENTAL CLINIC with Mahtomedi, Minnesota. Check all listed addresses for suites or satellite offices.
Who maintains MAHTOMEDI DENTAL CLINIC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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