Smisek Family Dentistry P.a. is a Dental Clinic in Shoreview, Minnesota. It is located at 501 Tanglewood Dr, Shoreview, MN and its contact number is 651-483-6747. The authorized person for Smisek Family Dentistry P.a. is Gary Ralph Smisek
who is President Smisek Family Dentistry of the clinic and their contact number is 651-483-6747. The primary license number for Smisek Family Dentistry P.a. is 9783 (General Practice) in Minnesota.
Smisek Family Dentistry P.a. 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:
Smisek Family Dentistry P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Smisek Family Dentistry P.a. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 501 Tanglewood Dr, Shoreview,
Minnesota, 55126-2016 |
| Phone: | 651-483-6747 |
| Fax: | 651-483-1863 |
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: | Gary Ralph Smisek |
| Position: | President Smisek Family Dentistry |
| Contact Number: | 651-483-6747 |
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 Smisek Family Dentistry P.a. clinic are as mentioned below.
| NPI Number: | 1457570194 |
| NPI Enumeration Date: | 24 Apr, 2007 |
| NPI Last Update On: | 17 Jul, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Smisek Family Dentistry P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 9783 | Minnesota | Primary | |
| General Practice | 7909 | Minnesota | Secondary | |
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 |
| 41-124-3604 | Other | | Federal Id. Number |
| 66340-47 | Other | Minnesota | State Mn Id Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Smisek Family Dentistry P.a.
501 Tanglewood Dr,
Shoreview, Minnesota |
| Zip: | 55126-2016 |
| Phone Number: | 651-483-6747 |
| Fax Number: | 651-483-1863 |
Patients can reach Smisek Family Dentistry P.a. at
501 Tanglewood Dr, Shoreview, Minnesota or can
call to book an appointment on 651-483-6747.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.