OrganizationActive
Four Seasons Dental PA
NPI 1194215616 · Dental Clinic/Center · Plymouth, MN
Four Seasons Dental PA is a Dental Clinic/Center organization in Plymouth, MN (NPI 1194215616).
Provider details
- NPI number
- 1194215616
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kersten Hoffman, Clinic Administrator(952) 475-0225
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
4205 Lancaster Ln N Ste 101
Plymouth, MN 55441-1702
Phone: (763) 559-2976
Fax: (763) 559-4852
Street-level locationGet directions
Mailing address
109 Bushaway Rd Ste 300
Wayzata, MN 55391-2079
Other names (DBA / former)
- Doing business as
- Four Seasons Dental PA
Registry dates
- Enumerated
- 2018-05-10
- Last updated
- 2018-05-10
Frequently asked questions
- What is Four Seasons Dental PA's NPI number?
- Four Seasons Dental PA's National Provider Identifier (NPI) is 1194215616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four Seasons Dental PA?
- Four Seasons Dental PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Four Seasons Dental PA located?
- Four Seasons Dental PA's practice location on file with NPPES is 4205 Lancaster Ln N Ste 101, Plymouth, MN 55441-1702.
- What is Four Seasons Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Four Seasons Dental PA is (763) 559-2976.
- Who is the authorized official for Four Seasons Dental PA?
- The authorized official listed on Four Seasons Dental PA's NPPES record is Kersten Hoffman, Clinic Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four Seasons Dental PA's NPI active?
- Yes — Four Seasons Dental PA's NPI (1194215616) is active in the NPPES registry as of the last update on 2018-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.