DENTAL SPECIALISTS OF MINNESOTA PLLC NPI 1740438076

NPI Information

  • NPI: 1740438076
  • Provider Name: DENTAL SPECIALISTS OF MINNESOTA, PLLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Doing Business As: THE DENTAL SPECIALISTS
  • Address: 1895 PLAZA DR
    SUITE 130
    EAGAN, MN
    ZIP 55122
  • Phone: (952) 926-2763

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NPI Details

DENTAL SPECIALISTS OF MINNESOTA, PLLC is a periodontics dentist in Eagan, MN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DENTAL SPECIALISTS OF MINNESOTA, PLLC NPI is 1740438076. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Dental Specialists.

The provider's business location address is:

1895 PLAZA DR
SUITE 130
EAGAN, MN
ZIP 55122-600
Phone: (952) 926-2763
Fax: (651) 454-1469

The provider's authorized official is Alan S Law .
The authorized official title is President and has the following contact phone number (651) 633-0500.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 10/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryNo
21223P0300XDentistPeriodonticsYes

What is NPI?

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This page was last updated on: 3/30/2025

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