OrganizationActive
Hanover Dental PLLC
NPI 1487147260 · Dental Clinic/Center · Hanover, MN
Hanover Dental PLLC is a Dental Clinic/Center organization in Hanover, MN (NPI 1487147260).
Provider details
- NPI number
- 1487147260
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tyler Koivisto, Dentist(763) 226-7379
- License
- D13236 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
411 Labeaux Ave Ne
Hanover, MN 55341
Phone: (763) 400-3005
Street-level locationGet directions
Mailing address
1192 Bice Ave Nw
Buffalo, MN 55313-4456
Other names (DBA / former)
- Doing business as
- Hanover Dental
- Doing business as
- Hanover Dental
Registry dates
- Enumerated
- 2018-06-07
- Last updated
- 2018-06-07
Frequently asked questions
- What is Hanover Dental PLLC's NPI number?
- Hanover Dental PLLC's National Provider Identifier (NPI) is 1487147260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hanover Dental PLLC?
- Hanover Dental PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Hanover Dental PLLC located?
- Hanover Dental PLLC's practice location on file with NPPES is 411 Labeaux Ave Ne, Hanover, MN 55341.
- What is Hanover Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Hanover Dental PLLC is (763) 400-3005.
- Who is the authorized official for Hanover Dental PLLC?
- The authorized official listed on Hanover Dental PLLC's NPPES record is Tyler Koivisto, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hanover Dental PLLC's NPI active?
- Yes — Hanover Dental PLLC's NPI (1487147260) is active in the NPPES registry as of the last update on 2018-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.