OrganizationActive
Crystal Dental Clinic LLC
NPI 1386479657 · General Practice Dentistry · Rochester, MN
Crystal Dental Clinic LLC is a General Practice Dentistry organization in Rochester, MN (NPI 1386479657).
Provider details
- NPI number
- 1386479657
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michelle Theede, Office Manager(507) 208-4141
Specialties & taxonomies
Dental Providers
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
2 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
1812 2nd St Sw
Rochester, MN 55902-4127
Phone: (507) 208-4141
Fax: (507) 229-1001
Street-level locationGet directions
Mailing address
1812 2nd St Sw
Rochester, MN 55902-4127
Registry dates
- Enumerated
- 2024-09-05
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Frequently asked questions
- What is Crystal Dental Clinic LLC's NPI number?
- Crystal Dental Clinic LLC's National Provider Identifier (NPI) is 1386479657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal Dental Clinic LLC?
- Crystal Dental Clinic LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Crystal Dental Clinic LLC located?
- Crystal Dental Clinic LLC's practice location on file with NPPES is 1812 2nd St Sw, Rochester, MN 55902-4127.
- What is Crystal Dental Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Crystal Dental Clinic LLC is (507) 208-4141.
- Who is the authorized official for Crystal Dental Clinic LLC?
- The authorized official listed on Crystal Dental Clinic LLC's NPPES record is Michelle Theede, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal Dental Clinic LLC's NPI active?
- Yes — Crystal Dental Clinic LLC's NPI (1386479657) is active in the NPPES registry as of the last update on 2024-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.