The Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THE DENTAL CLINIC

Practice address

1932 University Ave W
St Paul, MN 55104

Phone

(612) 444-1949

Fax

(612) 445-5477

NPI assigned

Jun 13, 2022

Last updated

May 12, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kola Xiong, DDSNPI 1851771984

Title

Owner, Dentist

Phone

(612) 444-1949

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kola Xiong

  • Dentist
  • Saint Paul, MN
  • NPI 1851771984
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1093445082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 UNIVERSITY AVE W",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "612-444-1949",
            "fax_number": "612-445-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 UNIVERSITY AVE W",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "612-444-1949",
            "fax_number": "612-445-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-05-12",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "KOLA",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "612-444-1949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.