OrganizationActive
James G Koller Dds,pa
NPI 1174989743 · Dental Clinic/Center · North St Paul, MN
James G Koller Dds,pa is a Dental Clinic/Center organization in North St Paul, MN (NPI 1174989743).
Provider details
- NPI number
- 1174989743
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Koller, Dentist(651) 777-6454
- License
- 10366 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2601 Centennial Dr Ste 102
North St Paul, MN 55109-3087
Phone: (651) 777-6454
Fax: (651) 773-9206
Street-level locationGet directions
Mailing address
2601 Centennial Dr Ste 102
North St Paul, MN 55109-3087
Registry dates
- Enumerated
- 2016-01-12
- Last updated
- 2019-12-05
Frequently asked questions
- What is James G Koller Dds,pa's NPI number?
- James G Koller Dds,pa's National Provider Identifier (NPI) is 1174989743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is James G Koller Dds,pa?
- James G Koller Dds,pa is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is James G Koller Dds,pa located?
- James G Koller Dds,pa's practice location on file with NPPES is 2601 Centennial Dr Ste 102, North St Paul, MN 55109-3087.
- What is James G Koller Dds,pa's phone number?
- The practice phone number listed in the NPPES registry for James G Koller Dds,pa is (651) 777-6454.
- Who is the authorized official for James G Koller Dds,pa?
- The authorized official listed on James G Koller Dds,pa's NPPES record is James Koller, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is James G Koller Dds,pa's NPI active?
- Yes — James G Koller Dds,pa's NPI (1174989743) is active in the NPPES registry as of the last update on 2019-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.