Active NPI
Grace Kathleen Euteneuer
- Dentist
- Sauk Rapids, MN
National Provider Identifier
1255269395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D15439
- Practice address
- 400 N Benton Dr
Sauk Rapids, MN 56379-1535 - Phone
- (320) 253-4206
- Fax
- (320) 202-7803
- NPI assigned
- May 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D15439 | MN | Primary |
Addresses
Primary practice location
400 N Benton Dr
Sauk Rapids, MN 56379-1535
Mailing address
904 5TH Ave E
Sartell, MN 56377-1269
Phone (320) 290-2296
Other names 1
- Grace Middendorf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D15439 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Benton Dental Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Sauk Rapids, MN
- NPI 1700815008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1255269395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 5TH AVE E",
"city": "SARTELL",
"state": "MN",
"postal_code": "563771269",
"telephone_number": "320-290-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N BENTON DR",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "563791535",
"telephone_number": "320-253-4206",
"fax_number": "320-202-7803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUTENEUER",
"first_name": "GRACE",
"middle_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D15439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "MIDDENDORF",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sauk Rapids, MN
- Anthony Joseph Dungey, DC
- Dvorak Cataract and Eye Laser Clinic, PA (Dvorak Eye Clinic)
- Erika M Theisen DDS PLLC (Theisen Dental)
- Essilor Laboratories of America, Inc (Custom Eyes)
- Essilor Laboratories of America, Inc (Spectrum Optical, Inc.)
- Evergreen Counseling LLC
- Mable Fale
- Patricia Judith Finnegan-Baker, RPH,
- Cheri Gunderson Gieski, LMFT
- Benjamin Glasser
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.