IndividualActive
Andrew Crist
NPI 1902390917 · General Practice Dentistry · Maplewood, MN
Provider details
- NPI number
- 1902390917
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1001806-15 (WI)
Specialties & taxonomies
Dental Providers
Practice location
1670 Beam Ave Ste 204
Maplewood, MN 55109
Phone: (651) 925-8400
Approximate (ZIP-level) locationGet directions
Mailing address
13133 6th St N
Stillwater, MN 55082-1926
Additional practice locations (2)
- 745 Sommers St NHudson, WI 54016-2314Phone: (715) 381-9785
- 745 Sommers St NHudson, WI 54016-2314Phone: (715) 381-9785
Registry dates
- Enumerated
- 2018-06-22
- Last updated
- 2019-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.