OrganizationActive
Spectrum Smiles LLC
NPI 1790531184 · Clinic/Center · Eagan, MN
Spectrum Smiles LLC is a Clinic/Center organization in Eagan, MN (NPI 1790531184).
Provider details
- NPI number
- 1790531184
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Najib Isse, Ceo(612) 245-0436
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
860 Blue Gentian Road #200
Eagan, MN 55121-1564
Phone: (612) 245-0436
Street-level locationGet directions
Mailing address
860 Blue Gentian Road #200
Eagan, MN 55121-1564
Registry dates
- Enumerated
- 2024-04-25
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Frequently asked questions
- What is Spectrum Smiles LLC's NPI number?
- Spectrum Smiles LLC's National Provider Identifier (NPI) is 1790531184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spectrum Smiles LLC?
- Spectrum Smiles LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Spectrum Smiles LLC located?
- Spectrum Smiles LLC's practice location on file with NPPES is 860 Blue Gentian Road #200, Eagan, MN 55121-1564.
- What is Spectrum Smiles LLC's phone number?
- The practice phone number listed in the NPPES registry for Spectrum Smiles LLC is (612) 245-0436.
- Who is the authorized official for Spectrum Smiles LLC?
- The authorized official listed on Spectrum Smiles LLC's NPPES record is Najib Isse, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spectrum Smiles LLC's NPI active?
- Yes — Spectrum Smiles LLC's NPI (1790531184) is active in the NPPES registry as of the last update on 2026-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.