Organization Active NPI

Novacare Dentistry, P.L.L.C.

Doing business as Dodge Center Family Dentistry

  • General Practice Dentistry
  • Dodge Center, MN
National Provider Identifier
1114822855
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NOVACARE DENTISTRY, P.L.L.C.
Doing business as
Dodge Center Family Dentistry
Practice address
406 W Highway St
Dodge Center, MN 55927-9063
Phone
(507) 374-6635
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Apollon III Thezine, DDSNPI 1104698240
Title
Dentist/Owner
Phone
(504) 346-3404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

406 W Highway St
Dodge Center, MN 55927-9063

Mailing address

406 W Highway St
Dodge Center, MN 55927-9063
Phone (507) 374-6635

Other names 1

  • Dodge Center Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

406 W Highway St
Dodge Center, MN 55927
Phone (507) 374-6635

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1114822855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W HIGHWAY ST",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "559279063",
            "telephone_number": "507-374-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W HIGHWAY ST",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "559279063",
            "telephone_number": "507-374-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE DENTISTRY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "THEZINE",
        "authorized_official_first_name": "APOLLON III",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "504-346-3404",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dodge Center Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dodge Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.