OrganizationActive
Miracle Mile Dentistry PA
NPI 1417340563 · Dentist · St Louis Park, MN
Miracle Mile Dentistry PA is a Dentist organization in St Louis Park, MN (NPI 1417340563).
Provider details
- NPI number
- 1417340563
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Dunlavey, President(612) 799-7525
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
5806a W 36th St
St Louis Park, MN 55416-5108
Phone: (952) 929-5292
Street-level locationGet directions
Mailing address
5806a W 36th St
St Louis Park, MN 55416-5108
Other names (DBA / former)
- Doing business as
- 36th Street Dental
Registry dates
- Enumerated
- 2015-03-13
- Last updated
- 2015-03-13
Frequently asked questions
- What is Miracle Mile Dentistry PA's NPI number?
- Miracle Mile Dentistry PA's National Provider Identifier (NPI) is 1417340563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miracle Mile Dentistry PA?
- Miracle Mile Dentistry PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Miracle Mile Dentistry PA located?
- Miracle Mile Dentistry PA's practice location on file with NPPES is 5806a W 36th St, St Louis Park, MN 55416-5108.
- What is Miracle Mile Dentistry PA's phone number?
- The practice phone number listed in the NPPES registry for Miracle Mile Dentistry PA is (952) 929-5292.
- Who is the authorized official for Miracle Mile Dentistry PA?
- The authorized official listed on Miracle Mile Dentistry PA's NPPES record is Ryan Dunlavey, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miracle Mile Dentistry PA's NPI active?
- Yes — Miracle Mile Dentistry PA's NPI (1417340563) is active in the NPPES registry as of the last update on 2015-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.