NPIMap

Organization Active NPI

Ready Set Smile PA

  • Dental Therapist
  • Minneapolis, MN
National Provider Identifier
1679911531
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental TherapistTaxonomy code 125J00000X
License
DT3 Issued in MN
Legal business name
READY SET SMILE PA
Practice address
3501 Aldrich Ave S
Minneapolis, MN 55408
Phone
(612) 721-6118
Fax
(612) 722-0723
NPI assigned
Jun 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Tessa Wetjen
Title
Executive Director
Phone
(612) 721-6118

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X D9933 MN
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X D9919 MN
Dental TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 125J00000X DT3 MN Primary

Addresses

Primary practice location

3501 Aldrich Ave S
Minneapolis, MN 55408

Mailing address

3501 Aldrich Ave S
Minneapolis, MN 55408
Phone (612) 377-6108

Other names 1

  • ADT Kids Dental Services PA Former legal business name

National Provider Directory

National Provider Directory

Locations

2232 Hennepin Ave
Minneapolis, MN 55405
Phone (612) 377-6108

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1679911531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 ALDRICH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "612-377-6108",
            "fax_number": "612-374-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 ALDRICH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "612-721-6118",
            "fax_number": "612-722-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READY SET SMILE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "WETJEN",
        "authorized_official_first_name": "TESSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-721-6118"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "MN",
            "license": "D9933",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "MN",
            "license": "D9919",
            "primary": false
        },
        {
            "code": "125J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Therapist",
            "state": "MN",
            "license": "DT3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADT Kids Dental Services PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.