OrganizationActive
Mahtomedi Dental Clinic
NPI 1326284597 · General Practice Dentistry · Mahtomedi, MN
Mahtomedi Dental Clinic is a General Practice Dentistry organization in Mahtomedi, MN (NPI 1326284597).
Provider details
- NPI number
- 1326284597
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Mahtomedi Dental Clinic
- Organization subpart
- Yes
- Authorized official
- Timothy Bray, Owner / Dentist(651) 426-0011
- License
- 8217 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
814 Mahtomedi Ave
Mahtomedi, MN 55115-1730
Phone: (651) 426-0011
Fax: (651) 426-2075
Street-level locationGet directions
Mailing address
814 Mahtomedi Ave
Mahtomedi, MN 55115-1730
Registry dates
- Enumerated
- 2008-12-18
- Last updated
- 2008-12-18
Frequently asked questions
- What is Mahtomedi Dental Clinic's NPI number?
- Mahtomedi Dental Clinic's National Provider Identifier (NPI) is 1326284597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mahtomedi Dental Clinic?
- Mahtomedi Dental Clinic is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mahtomedi Dental Clinic located?
- Mahtomedi Dental Clinic's practice location on file with NPPES is 814 Mahtomedi Ave, Mahtomedi, MN 55115-1730.
- What is Mahtomedi Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Mahtomedi Dental Clinic is (651) 426-0011.
- Who is the authorized official for Mahtomedi Dental Clinic?
- The authorized official listed on Mahtomedi Dental Clinic's NPPES record is Timothy Bray, Owner / Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mahtomedi Dental Clinic's NPI active?
- Yes — Mahtomedi Dental Clinic's NPI (1326284597) is active in the NPPES registry as of the last update on 2008-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.