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Bloomington Family Dental, PLLC — NPI 1649079039, Bloomington, MN | NPI Central

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NPI 1649079039

OrganizationActive

Bloomington Family Dental, PLLC

NPI 1649079039 · Dental Clinic/Center · Bloomington, MN

Provider details

NPI number: 1649079039
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Brian Gray, Owner/Dentist(952) 856-0089

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

9820 Nicollet Ave S

Bloomington, MN 55420

Phone: (952) 856-0089

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

9820 Nicollet Ave S

Bloomington, MN 55420

Other names (DBA / former)

Former legal business name: Bloomington Family Dental, PLLC

Registry dates

Enumerated: 2025-03-10
Last updated: 2025-03-10
Certified: 2025-03-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.