Maple Grove Family Dental Clinic, PA
NPI 1922181197 · General Practice Dentistry · Maple Grove, MN
Maple Grove Family Dental Clinic, PA is a General Practice Dentistry organization in Maple Grove, MN (NPI 1922181197).
Provider details
- NPI number
- 1922181197
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Susan Larson, Clinic Administrator(763) 420-4421
- License
- 9790 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Maple Grove Family Dental Clinic, PA's NPI number?
- Maple Grove Family Dental Clinic, PA's National Provider Identifier (NPI) is 1922181197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maple Grove Family Dental Clinic, PA?
- Maple Grove Family Dental Clinic, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Maple Grove Family Dental Clinic, PA located?
- Maple Grove Family Dental Clinic, PA's practice location on file with NPPES is 12000 Elm Creek Blvd N, Maple Grove, MN 55369-7073.
- What is Maple Grove Family Dental Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Maple Grove Family Dental Clinic, PA is (763) 420-4421.
- Who is the authorized official for Maple Grove Family Dental Clinic, PA?
- The authorized official listed on Maple Grove Family Dental Clinic, PA's NPPES record is Susan Larson, Clinic Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maple Grove Family Dental Clinic, PA's NPI active?
- Yes — Maple Grove Family Dental Clinic, PA's NPI (1922181197) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.