Mahtomedi Dental Clinic is a Dental Clinic in Mahtomedi, Minnesota. This organization is also known as sub part of Mahtomedi Dental Clinic. It is located at 814 Mahtomedi Ave, Mahtomedi, MN and its contact number is 651-426-0011. The authorized person for Mahtomedi Dental Clinic is Dr. Timothy A Bray
who is Owner / Dentist of the clinic and their contact number is 651-426-0011. Other organizations associated with this clinic are Mahtomedi Dental Clinic, Mahtomedi Family Dental, Mahtomedi Dental Clinic, The primary license number for Mahtomedi Dental Clinic is 8217 (General Practice) in Minnesota.
Mahtomedi Dental Clinic 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:
Mahtomedi Dental Clinic Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mahtomedi Dental Clinic |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 814 Mahtomedi Ave, Mahtomedi,
Minnesota, 55115-1730 |
| Phone: | 651-426-0011 |
| Fax: | 651-426-2075 |
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. Timothy A Bray |
| Position: | Owner / Dentist |
| Contact Number: | 651-426-0011 |
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 Mahtomedi Dental Clinic clinic are as mentioned below.
| NPI Number: | 1326284597 |
| Parent Organization: | Mahtomedi Dental Clinic |
| NPI Enumeration Date: | 18 Dec, 2008 |
| NPI Last Update On: | 18 Dec, 2008 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Mahtomedi Dental Clinic | General Practice Dentistry | 1326284597 |
| Mahtomedi Family Dental | General Practice Dentistry | 1720415896 |
| Mahtomedi Dental Clinic | General Practice Dentistry | 1841462652 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mahtomedi Dental Clinic are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 8217 | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 982017500 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mahtomedi Dental Clinic
814 Mahtomedi Ave,
Mahtomedi, Minnesota |
| Zip: | 55115-1730 |
| Phone Number: | 651-426-0011 |
| Fax Number: | 651-426-2075 |
Patients can reach Mahtomedi Dental Clinic at
814 Mahtomedi Ave, Mahtomedi, Minnesota or can
call to book an appointment on 651-426-0011.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.