OrganizationActive
University Ave Dental, PLLC
NPI 1093468852 · General Practice Dentistry · Blaine, MN
University Ave Dental, PLLC is a General Practice Dentistry organization in Blaine, MN (NPI 1093468852).
Provider details
- NPI number
- 1093468852
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Marty Spanish, Owner(952) 836-7924
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 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
10155 University Ave Ne Ste 112
Blaine, MN 55434-8058
Phone: (763) 784-1242
Street-level locationGet directions
Mailing address
10155 University Ave Ne Ste 112
Blaine, MN 55434-8058
Registry dates
- Enumerated
- 2022-02-01
- Last updated
- 2022-02-01
- Certified
- 2022-02-01
Frequently asked questions
- What is University Ave Dental, PLLC's NPI number?
- University Ave Dental, PLLC's National Provider Identifier (NPI) is 1093468852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is University Ave Dental, PLLC?
- University Ave Dental, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is University Ave Dental, PLLC located?
- University Ave Dental, PLLC's practice location on file with NPPES is 10155 University Ave Ne Ste 112, Blaine, MN 55434-8058.
- What is University Ave Dental, PLLC's phone number?
- The practice phone number listed in the NPPES registry for University Ave Dental, PLLC is (763) 784-1242.
- Who is the authorized official for University Ave Dental, PLLC?
- The authorized official listed on University Ave Dental, PLLC's NPPES record is Marty Spanish, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is University Ave Dental, PLLC's NPI active?
- Yes — University Ave Dental, PLLC's NPI (1093468852) is active in the NPPES registry as of the last update on 2022-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.