OrganizationActive
Her and Man Town Dental PLLC
NPI 1275362329 · Dental Clinic/Center · Hermantown, MN
Her and Man Town Dental PLLC is a Dental Clinic/Center organization in Hermantown, MN (NPI 1275362329).
Provider details
- NPI number
- 1275362329
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tracey Makitalo, Insurance Coordinator(218) 722-2428
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4135 Richard Ave Ste 103
Hermantown, MN 55811-2979
Phone: (218) 722-2428
Fax: (218) 722-0142
Approximate (ZIP-level) locationGet directions
Mailing address
4135 Richard Ave Ste 103
Hermantown, MN 55811-2979
Other names (DBA / former)
- Doing business as
- Boulder Trail Dental
Registry dates
- Enumerated
- 2024-07-29
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Frequently asked questions
- What is Her and Man Town Dental PLLC's NPI number?
- Her and Man Town Dental PLLC's National Provider Identifier (NPI) is 1275362329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Her and Man Town Dental PLLC?
- Her and Man Town Dental PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Her and Man Town Dental PLLC located?
- Her and Man Town Dental PLLC's practice location on file with NPPES is 4135 Richard Ave Ste 103, Hermantown, MN 55811-2979.
- What is Her and Man Town Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Her and Man Town Dental PLLC is (218) 722-2428.
- Who is the authorized official for Her and Man Town Dental PLLC?
- The authorized official listed on Her and Man Town Dental PLLC's NPPES record is Tracey Makitalo, Insurance Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Her and Man Town Dental PLLC's NPI active?
- Yes — Her and Man Town Dental PLLC's NPI (1275362329) is active in the NPPES registry as of the last update on 2024-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.