OrganizationActive
Bucca Dental LLC
NPI 1750774428 · Dental Clinic/Center · Minneapolis, MN
Bucca Dental LLC is a Dental Clinic/Center organization in Minneapolis, MN (NPI 1750774428).
Provider details
- NPI number
- 1750774428
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edgar Mantilla, Ceo(612) 724-1717
- License
- D11889 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
1508 E Lake St
Minneapolis, MN 55407-1720
Phone: (612) 724-1717
Fax: (612) 724-3114
Street-level locationGet directions
Mailing address
1508 E Lake St
Minneapolis, MN 55407-1720
Registry dates
- Enumerated
- 2015-03-05
- Last updated
- 2015-03-05
Frequently asked questions
- What is Bucca Dental LLC's NPI number?
- Bucca Dental LLC's National Provider Identifier (NPI) is 1750774428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bucca Dental LLC?
- Bucca Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bucca Dental LLC located?
- Bucca Dental LLC's practice location on file with NPPES is 1508 E Lake St, Minneapolis, MN 55407-1720.
- What is Bucca Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Bucca Dental LLC is (612) 724-1717.
- Who is the authorized official for Bucca Dental LLC?
- The authorized official listed on Bucca Dental LLC's NPPES record is Edgar Mantilla, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bucca Dental LLC's NPI active?
- Yes — Bucca Dental LLC's NPI (1750774428) is active in the NPPES registry as of the last update on 2015-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.