Prairie Dental Group
NPI 1104057975 · General Practice Dentistry · Eden Prairie, MN
Prairie Dental Group is a General Practice Dentistry organization in Eden Prairie, MN (NPI 1104057975).
Provider details
- NPI number
- 1104057975
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Caryl Leach, Administrator(952) 903-5000
Specialties & taxonomies
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-07-28
- Last updated
- 2009-07-28
Frequently asked questions
- What is Prairie Dental Group's NPI number?
- Prairie Dental Group's National Provider Identifier (NPI) is 1104057975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie Dental Group?
- Prairie Dental Group is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Prairie Dental Group located?
- Prairie Dental Group's practice location on file with NPPES is 6608 Flying Cloud Dr, Eden Prairie, MN 55344-3381.
- What is Prairie Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Prairie Dental Group is (952) 903-5000.
- Who is the authorized official for Prairie Dental Group?
- The authorized official listed on Prairie Dental Group's NPPES record is Caryl Leach, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie Dental Group's NPI active?
- Yes — Prairie Dental Group's NPI (1104057975) is active in the NPPES registry as of the last update on 2009-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.