OrganizationActive
Carl B. Fitzsimmons, DDS, PA
NPI 1972894061 · Dental Clinic/Center · Plymouth, MN
Provider details
- NPI number
- 1972894061
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carl Fitzsimmons, President/Ceo(763) 577-9840
- License
- D11044 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
16795 County Road 24
Suite 6
Plymouth, MN 55447-1201
Phone: (763) 577-9840
Fax: (763) 577-9843
Approximate (ZIP-level) locationGet directions
Mailing address
16795 County Road 24
Plymouth, MN 55447-1201
Other names (DBA / former)
- Doing business as
- Plymouth Station Dental
Registry dates
- Enumerated
- 2011-04-25
- Last updated
- 2011-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.