Organization Active NPI

Grove Health Dental PLLC

  • Dental Clinic/Center
  • Maple Grove, MN
National Provider Identifier
1710684196
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GROVE HEALTH DENTAL PLLC
Practice address
9907 Maple Grove Pkwy N
Maple Grove, MN 55369-4492
Phone
(763) 416-0011
Fax
(763) 416-5006
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Dr. Janna Rae Holmgren, DDSNPI 1851828214
Title
Dentist
Phone
(763) 416-0011

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9907 Maple Grove Pkwy N
Maple Grove, MN 55369-4492

Mailing address

9907 Maple Grove Pkwy N
Maple Grove, MN 55369-4492
Phone (763) 416-0011

National Provider Directory

National Provider Directory

Locations

9907 Maple Grove Pkwy N
Maple Grove, MN 55369
Phone (763) 416-0011

Practitioners & affiliated clinicians

Practitioners 1

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": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1710684196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9907 MAPLE GROVE PKWY N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694492",
            "telephone_number": "763-416-0011",
            "fax_number": "763-416-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9907 MAPLE GROVE PKWY N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694492",
            "telephone_number": "763-416-0011",
            "fax_number": "763-416-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE HEALTH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "HOLMGREN",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-416-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.