Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033424403 Individual Practitioner Female Practitioner

Dr. Sara Smith , DDS

Dentist - General Practice • Maple Grove, MN

Professional Overview & Biography Verified Profile Summary

Dr. Sara Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Maple Grove, MN. Practice services are available at 12736 BASS LAKE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12736 Bass Lake Rd

Maple Grove, MN 553696307

Telephone 7635592082
Associated Practice Facility / Clinic
🏢 Pdb, Dds, Pa Facility NPI 1942809637

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Maple Grove, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D12914

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1003874462

Doctor of Dental Surgery

Dr. Kayla Blanek , DDS

Dentist - General Practice

NPI 1134807134

Doctor of Dental Surgery

NPI 1679660344

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
👤
Provider Name / Credentials Updated August 26, 2025

Recorded as SARA SMITH, D.D.S.

📍
Updated Practice Location April 14, 2025

Registered at 12736 BASS LAKE RD, MAPLE GROVE, MN 553696307 (Tel: 7635592082)

📍
Updated Business Mailing Address April 14, 2025

Registered at 12736 BASS LAKE RD, MAPLE GROVE, MN 553696307 (Tel: 7635592082)

👤
Provider Name / Credentials Updated April 14, 2025

Recorded as SARA CONWAY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2025

Dentist (License #D12914 in MN)

NPI Profile Active August 10, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2010

Registered at 201 N LEONARD ST, SUITE 101, WEST SALEM, WI 54669 (Tel: 6087861632)

📍
Updated Business Mailing Address August 10, 2010

Registered at 201 N LEONARD ST, SUITE 101, WEST SALEM, WI 54669

👤
Provider Name / Credentials Updated August 10, 2010

Recorded as SARA SMITH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2010

Dentist (License #6570-015 in WI)

🟢
Initial NPI Registration & Enumeration August 10, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033424403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2010
Last Update: August 26, 2025
Sole Proprietor: No

Mailing Address

12736 Bass Lake Rd

Maple Grove, MN 553696307

Phone: 7635592082

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.