OrganizationActive
Grove Dentist PA
NPI 1326481284 · General Practice Dentistry · Maple Grove, MN
Grove Dentist PA is a General Practice Dentistry organization in Maple Grove, MN (NPI 1326481284).
Provider details
- NPI number
- 1326481284
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Reny Chacko, Dentist(651) 308-2804
- License
- D11844 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
13649 Grove Dr
Maple Grove, MN 55311-4405
Phone: (763) 420-8038
Fax: (763) 494-4222
Street-level locationGet directions
Mailing address
13649 Grove Dr
Maple Grove, MN 55311-4405
Registry dates
- Enumerated
- 2013-04-10
- Last updated
- 2013-04-10
Frequently asked questions
- What is Grove Dentist PA's NPI number?
- Grove Dentist PA's National Provider Identifier (NPI) is 1326481284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grove Dentist PA?
- Grove Dentist PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Grove Dentist PA located?
- Grove Dentist PA's practice location on file with NPPES is 13649 Grove Dr, Maple Grove, MN 55311-4405.
- What is Grove Dentist PA's phone number?
- The practice phone number listed in the NPPES registry for Grove Dentist PA is (763) 420-8038.
- Who is the authorized official for Grove Dentist PA?
- The authorized official listed on Grove Dentist PA's NPPES record is Reny Chacko, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grove Dentist PA's NPI active?
- Yes — Grove Dentist PA's NPI (1326481284) is active in the NPPES registry as of the last update on 2013-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.