Scott James Imberg, DDS
Individual provider Active NPI General Practice Dentistry · Ham Lake, MN
NPI 1659204584 · NPPES record last updated Jun 10, 2026
Key facts
- NPI
- 1659204584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D15447 (MN)
- Practice address
- 16220 Aberdeen St NE Ste A1
Ham Lake, MN 55304-5421 - Phone
- (763) 434-4188
- Fax
- (763) 413-7261
- NPI assigned
- Jun 8, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D15447 | MN | Yes |
Addresses
Primary practice location
16220 Aberdeen St NE Ste A1
Ham Lake, MN 55304-5421
Mailing address
90 S 9TH St Apt 1308
Minneapolis, MN 55402-3279
Phone (218) 269-3558
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- Robert Charles Hoffmann
- Valorie Dee Hoffmann
- Horizons Community Church
- Christine Ann Hess Ingbretson
- Kristin Kay Ingram
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- Casssandra Lynn Jahn
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All providers in Ham Lake, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.