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Champlin Family Dental PA — NPI 1992818751, Champlin, MN | NPI Central

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NPI 1992818751

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Champlin Family Dental PA

NPI 1992818751 · General Practice Dentistry · Champlin, MN

Provider details

NPI number: 1992818751
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Krista Bauer, Dentist(763) 323-0678
License: 11195 (MN)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 9624 (MN)
Dental Providers
General Practice Dentistry1223G0001XLicense 11195 (MN)
Dental Providers

Practice location

12233 Champlin Drive

Champlin, MN 55316

Phone: (763) 323-0678

Fax: (763) 323-9102

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

12233 Champlin Drive

Champlin, MN 55316

Registry dates

Enumerated: 2006-08-16
Last updated: 2015-04-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.