OrganizationActive
Minnehaha Fall Family Dental
NPI 1104977222 · Dentist · Minneapolis, MN
Minnehaha Fall Family Dental is a Dentist organization in Minneapolis, MN (NPI 1104977222).
Provider details
- NPI number
- 1104977222
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jenna Swenson, Owner(320) 761-2259
- License
- 10142 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4554 Minnehaha Ave
Minneapolis, MN 55406
Phone: (612) 721-3012
Street-level locationGet directions
Mailing address
4554 Minnehaha Ave
Minneapolis, MN 55406
Other names (DBA / former)
- Former legal business name
- Jakubas Dental
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2020-12-31
- Certified
- 2020-12-31
Frequently asked questions
- What is Minnehaha Fall Family Dental's NPI number?
- Minnehaha Fall Family Dental's National Provider Identifier (NPI) is 1104977222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnehaha Fall Family Dental?
- Minnehaha Fall Family Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Minnehaha Fall Family Dental located?
- Minnehaha Fall Family Dental's practice location on file with NPPES is 4554 Minnehaha Ave, Minneapolis, MN 55406.
- What is Minnehaha Fall Family Dental's phone number?
- The practice phone number listed in the NPPES registry for Minnehaha Fall Family Dental is (612) 721-3012.
- Who is the authorized official for Minnehaha Fall Family Dental?
- The authorized official listed on Minnehaha Fall Family Dental's NPPES record is Jenna Swenson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnehaha Fall Family Dental's NPI active?
- Yes — Minnehaha Fall Family Dental's NPI (1104977222) is active in the NPPES registry as of the last update on 2020-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.