OrganizationActive
Creekside Dental PLLC
NPI 1043955412 · Dentist · St Louis Park, MN
Creekside Dental PLLC is a Dentist organization in St Louis Park, MN (NPI 1043955412).
Provider details
- NPI number
- 1043955412
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Gabriel De Los Rios, Owner/Dentist(763) 442-7624
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3340 Republic Ave Ste 130
St Louis Park, MN 55426-4189
Phone: (763) 442-7624
Street-level locationGet directions
Mailing address
12445 Porcupine Ct
Eden Prairie, MN 55344-3972
Registry dates
- Enumerated
- 2022-05-01
- Last updated
- 2022-05-01
- Certified
- 2022-05-01
Frequently asked questions
- What is Creekside Dental PLLC's NPI number?
- Creekside Dental PLLC's National Provider Identifier (NPI) is 1043955412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Creekside Dental PLLC?
- Creekside Dental PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Creekside Dental PLLC located?
- Creekside Dental PLLC's practice location on file with NPPES is 3340 Republic Ave Ste 130, St Louis Park, MN 55426-4189.
- What is Creekside Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Creekside Dental PLLC is (763) 442-7624.
- Who is the authorized official for Creekside Dental PLLC?
- The authorized official listed on Creekside Dental PLLC's NPPES record is Gabriel De Los Rios, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Creekside Dental PLLC's NPI active?
- Yes — Creekside Dental PLLC's NPI (1043955412) is active in the NPPES registry as of the last update on 2022-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.