Mahtomedi Family Dental is a Dental Clinic in Mahtomedi, Minnesota. It is located at 814 Mahtomedi Ave, Mahtomedi, MN and its contact number is 651-426-0011. The authorized person for Mahtomedi Family Dental is Dr. Brian Welle
who is Doctor 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 Family Dental is D7721 (General Practice) in Minnesota.
Mahtomedi Family Dental 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 Family Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mahtomedi Family Dental |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 814 Mahtomedi Ave, Mahtomedi,
Minnesota, 55115-1730 |
| Phone: | 651-426-0011 |
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. Brian Welle |
| Position: | Doctor |
| 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 Family Dental clinic are as mentioned below.
| NPI Number: | 1720415896 |
| NPI Enumeration Date: | 03 Oct, 2013 |
| NPI Last Update On: | 03 Oct, 2013 |
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 Family Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | D7721 | 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 |
| 1811212624 | 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 Family Dental
814 Mahtomedi Ave,
Mahtomedi, Minnesota |
| Zip: | 55115-1730 |
| Phone Number: | -- |
Patients can reach Mahtomedi Family Dental 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.