RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC – Pediatric Dentistry, NPI 1477025906

RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC is a healthcare provider. based in Coon rapids, Minnesota. specializing in Pediatric Dentistry. The NPI Number for RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC is 1477025906

Main info

Organization
Name
RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC
NPI
1477025906
Phone
(763) 767-1524
Address
3585 124TH AVE NW STE 400
Authorized Official
DEANN CARLSON FINANCIAL COORDINATOR
Enumeration Date
21 December 2018
Last Update Date
21 December 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC

  • 124th Avenue NW, Coon Rapids, Anoka County, Minnesota, 55433, United States

    COON RAPIDS, MN 554331008

    Phone: (763) 767-1524

    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)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 55433)

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Reviews

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Frequently asked questions

What unique ID ties claims to RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC?
NPI 1477025906 is assigned to RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC under the national enumeration system.
Is RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC active in the national directory?
RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC's public NPI profile is in an active state.
What does RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC treat or focus on?
Patients typically see RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC under the specialty Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Where does public data place RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC?
The snapshot lists Coon Rapids, Minnesota for RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC; download NPPES for the complete set.
What if Coon Rapids, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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