OrganizationActive
Paul Boettner D.D.S. PLLC
NPI 1679765929 · General Practice Dentistry · Plymouth, MN
Paul Boettner D.D.S. PLLC is a General Practice Dentistry organization in Plymouth, MN (NPI 1679765929).
Provider details
- NPI number
- 1679765929
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Paul Boettner, Owner(763) 476-6774
- License
- D12160 (MN)
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
18 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
1495 County Road 101 N
Suite 2
Plymouth, MN 55447-3078
Phone: (763) 476-6774
Street-level locationGet directions
Mailing address
1495 County Road 101 N
Plymouth, MN 55447
Other names (DBA / former)
- Doing business as
- Bay Creek Dental
Registry dates
- Enumerated
- 2007-08-10
- Last updated
- 2012-06-15
Frequently asked questions
- What is Paul Boettner D.D.S. PLLC's NPI number?
- Paul Boettner D.D.S. PLLC's National Provider Identifier (NPI) is 1679765929, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paul Boettner D.D.S. PLLC?
- Paul Boettner D.D.S. PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Paul Boettner D.D.S. PLLC located?
- Paul Boettner D.D.S. PLLC's practice location on file with NPPES is 1495 County Road 101 N, Plymouth, MN 55447-3078.
- What is Paul Boettner D.D.S. PLLC's phone number?
- The practice phone number listed in the NPPES registry for Paul Boettner D.D.S. PLLC is (763) 476-6774.
- Who is the authorized official for Paul Boettner D.D.S. PLLC?
- The authorized official listed on Paul Boettner D.D.S. PLLC's NPPES record is Paul Boettner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paul Boettner D.D.S. PLLC's NPI active?
- Yes — Paul Boettner D.D.S. PLLC's NPI (1679765929) is active in the NPPES registry as of the last update on 2012-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.