NPI 1003431263
Dental Specialists of Minnesota, PLLC
Practice location
- Address
- 14525 Highway 7 STE 125, Minnetonka, MN 55345-3738
- Phone
- (952) 303-8858
- Fax
- (952) 314-4892
- Mailing address
- 2200 County Road C W STE 2210, Roseville, MN 55113-2551
Authorised official
- Name
- Shannon Hesse
- Title
- Credentialing Specialists
- Phone
- (651) 746-2815
Registered specialties (5)
Oral and Maxillofacial Surgery (Dentist)
Primary
Endodontics
Pediatric Dentistry
Periodontics
Prosthodontics
Registry record
- NPI
- 1003431263
- Entity type
- Organization
- NPI issued
- 13 Jun 2020
- Record last updated
- 13 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.