IndividualActive
Carol Bahnemann, DDS
NPI 1568521995 · General Practice Dentistry · Champlin, MN
Provider details
- NPI number
- 1568521995
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D10492 (MN)
Specialties & taxonomies
Dental Providers
Practice location
11269 Jefferson Hwy N
Champlin, MN 55316-3123
Phone: (763) 421-5206
Fax: (763) 421-8320
Approximate (ZIP-level) locationGet directions
Mailing address
4941 Bryant Ave S
Minneapolis, MN 55419-5360
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.