OrganizationActive
Kyle Novotny DDS PLLC
NPI 1255044723 · General Practice Dentistry · Blaine, MN
Kyle Novotny DDS PLLC is a General Practice Dentistry organization in Blaine, MN (NPI 1255044723).
Provider details
- NPI number
- 1255044723
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kyle Novotny, Owner(763) 757-1323
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
12265 Central Ave Ne
Blaine, MN 55434-3961
Phone: (763) 757-1323
Fax: (763) 757-1037
Street-level locationGet directions
Mailing address
12265 Central Ave Ne
Blaine, MN 55434-3961
Other names (DBA / former)
- Doing business as
- Legacy Dental Care
Registry dates
- Enumerated
- 2022-12-29
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Frequently asked questions
- What is Kyle Novotny DDS PLLC's NPI number?
- Kyle Novotny DDS PLLC's National Provider Identifier (NPI) is 1255044723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kyle Novotny DDS PLLC?
- Kyle Novotny DDS PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kyle Novotny DDS PLLC located?
- Kyle Novotny DDS PLLC's practice location on file with NPPES is 12265 Central Ave Ne, Blaine, MN 55434-3961.
- What is Kyle Novotny DDS PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kyle Novotny DDS PLLC is (763) 757-1323.
- Who is the authorized official for Kyle Novotny DDS PLLC?
- The authorized official listed on Kyle Novotny DDS PLLC's NPPES record is Kyle Novotny, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kyle Novotny DDS PLLC's NPI active?
- Yes — Kyle Novotny DDS PLLC's NPI (1255044723) is active in the NPPES registry as of the last update on 2022-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.