Healthcare Provider Details

I. General information

NPI: 1982538690
Provider Name (Legal Business Name): FAMILY SMILES-BURNSVILLE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 CEDAR GROVE PKWY STE 1101
EAGAN MN
55122-1469
US

IV. Provider business mailing address

3825 CEDAR GROVE PKWY STE 1101
EAGAN MN
55122-1469
US

V. Phone/Fax

Practice location:
  • Phone: 952-905-9090
  • Fax: 952-892-5542
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: VALMORE MALSKIS
Title or Position: OWNER
Credential:
Phone: 952-892-5000