Grove Dentist Pa is a Dental Clinic in Maple Grove, Minnesota. It is located at 13649 Grove Dr, Maple Grove, MN and its contact number is 763-420-8038. The authorized person for Grove Dentist Pa is Dr. Reny Chacko
who is Dentist of the clinic and their contact number is 651-308-2804. The primary license number for Grove Dentist Pa is D11844 (General Practice) in Minnesota.
Grove Dentist Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Grove Dentist Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Grove Dentist Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 13649 Grove Dr, Maple Grove,
Minnesota, 55311-4405 |
| Phone: | 763-420-8038 |
| Fax: | 763-494-4222 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Reny Chacko |
| Position: | Dentist |
| Contact Number: | 651-308-2804 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Grove Dentist Pa clinic are as mentioned below.
| NPI Number: | 1326481284 |
| NPI Enumeration Date: | 10 Apr, 2013 |
| NPI Last Update On: | 10 Apr, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grove Dentist Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | D11844 | Minnesota | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Grove Dentist Pa
13649 Grove Dr,
Maple Grove, Minnesota |
| Zip: | 55311-4405 |
| Phone Number: | 763-420-8038 |
| Fax Number: | 763-494-4222 |
Patients can reach Grove Dentist Pa at
13649 Grove Dr, Maple Grove, Minnesota or can
call to book an appointment on 763-420-8038.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.