OrganizationActive
Grand Avenue Dental, LLC
NPI 1154933661 · Dental Clinic/Center · Saint Paul, MN
Grand Avenue Dental, LLC is a Dental Clinic/Center organization in Saint Paul, MN (NPI 1154933661).
Provider details
- NPI number
- 1154933661
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Tyler, Business Manager(651) 291-9667
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
960 Grand Ave
Saint Paul, MN 55105-3014
Phone: (651) 291-9667
Street-level locationGet directions
Mailing address
960 Grand Ave
Saint Paul, MN 55105-3014
Registry dates
- Enumerated
- 2020-08-18
- Last updated
- 2020-08-18
- Certified
- 2020-08-18
Frequently asked questions
- What is Grand Avenue Dental, LLC's NPI number?
- Grand Avenue Dental, LLC's National Provider Identifier (NPI) is 1154933661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Avenue Dental, LLC?
- Grand Avenue Dental, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Grand Avenue Dental, LLC located?
- Grand Avenue Dental, LLC's practice location on file with NPPES is 960 Grand Ave, Saint Paul, MN 55105-3014.
- What is Grand Avenue Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Avenue Dental, LLC is (651) 291-9667.
- Who is the authorized official for Grand Avenue Dental, LLC?
- The authorized official listed on Grand Avenue Dental, LLC's NPPES record is Robert Tyler, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Avenue Dental, LLC's NPI active?
- Yes — Grand Avenue Dental, LLC's NPI (1154933661) is active in the NPPES registry as of the last update on 2020-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.