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Advanced Dental Group — NPI 1275707580, Minneapolis, MN | NPI Central

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OrganizationActive

Advanced Dental Group

NPI 1275707580 · General Practice Dentistry · Minneapolis, MN

Provider details

NPI number: 1275707580
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Raymond Hellickson, Dentist/Owner(612) 789-3573
License: D7910 (MN)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense D6670 (MN)
Dental Providers
General Practice Dentistry1223G0001XLicense D7910 (MN)
Dental Providers
General Practice Dentistry1223G0001XLicense D7712 (MN)
Dental Providers
General Practice Dentistry1223G0001XLicense D11408 (MN)
Dental Providers
Periodontics1223P0300XLicense D10650 (MN)
Dental Providers

Practice location

3909 Silver Lake Rd Ne

Minneapolis, MN 55421-4352

Phone: (612) 789-3573

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

3909 Silver Lake Rd Ne

Minneapolis, MN 55421-4352

Registry dates

Enumerated: 2008-04-17
Last updated: 2008-04-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.