Northwest Family Dental Center Tn
NPI 1114130010 · General Practice Dentistry · Saint Michael, MN
Northwest Family Dental Center Tn is a General Practice Dentistry organization in Saint Michael, MN (NPI 1114130010).
Provider details
- NPI number
- 1114130010
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- David Desimone, Owner(763) 497-2367
- License
- 8424 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northwest Family Dental Center Tn's NPI number?
- Northwest Family Dental Center Tn's National Provider Identifier (NPI) is 1114130010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Family Dental Center Tn?
- Northwest Family Dental Center Tn is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Northwest Family Dental Center Tn located?
- Northwest Family Dental Center Tn's practice location on file with NPPES is 12725 43rd St Ne, Saint Michael, MN 55376-4900.
- What is Northwest Family Dental Center Tn's phone number?
- The practice phone number listed in the NPPES registry for Northwest Family Dental Center Tn is (763) 497-2367.
- Who is the authorized official for Northwest Family Dental Center Tn?
- The authorized official listed on Northwest Family Dental Center Tn's NPPES record is David Desimone, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Family Dental Center Tn's NPI active?
- Yes — Northwest Family Dental Center Tn's NPI (1114130010) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.