123 Brush Dental Llc is a renowned Dental office in Maplewood, Minnesota. It is located at 1670 Beam Ave, Ste 202, Maplewood, MN and its contact number is 651-779-4195. The authorized person for 123 Brush Dental Llc is Dr. Vacharee Sriswad Peterson
who is Dentist of the place and their contact number is 651-779-4195. The primary license number for 123 Brush Dental Llc is D9309 (Dental) in Minnesota.
123 Brush Dental Llc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
123 Brush Dental Llc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | 123 Brush Dental Llc |
| Specialization: | Dentistry |
| Address: | 1670 Beam Ave, Ste 202, Maplewood,
Minnesota, 55109 |
| Phone: | 651-779-4195 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Vacharee Sriswad Peterson |
| Position: | Dentist |
| Contact Number: | 651-779-4195 |
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 123 Brush Dental Llc Office are as mentioned below.
| NPI Number: | 1053807016 |
| NPI Enumeration Date: | 02 Jul, 2018 |
| NPI Last Update On: | 02 Jul, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 123 Brush Dental Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | D9309 | 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: | 123 Brush Dental Llc
1670 Beam Ave, Ste 202
Maplewood, Minnesota |
| Zip: | 55109 |
| Phone Number: | 651-779-4195 |
Patients can reach 123 Brush Dental Llc at
1670 Beam Ave, Ste 202, Maplewood, Minnesota or can
call to book an appointment on 651-779-4195.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.