OrganizationActive
Childrens Dental Services Inc
NPI 1407973605 · Public Health Dentistry · Minneapolis, MN
Provider details
- NPI number
- 1407973605
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sarah Wovcha, Executive Director(612) 636-1577
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
636 Broadway St. Ne
Minneapolis, MN 55413
Phone: (612) 746-1530
Fax: (612) 746-1531
Street-level locationGet directions
Mailing address
636 Broadway St. Ne
Minneapolis, MN 55413
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2013-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.