Minnesota Dental Implants

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MINNESOTA DENTAL IMPLANTS

Doing business as

MN Center for Dental Care
PureHeath Dental

Practice address

9075 Quaday Ave NE Ste 102
Otsego, MN 55330-6673

Phone

(763) 972-0440

NPI assigned

Sep 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Sheils, DDSNPI 1801961073

Title

Owner/Dentist

Phone

(763) 441-2452

Specialties & licenses 1

Addresses

Other names 2

• MN Center for Dental Care Doing business as
• PureHeath Dental Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul E Sheils

  • General Practice Dentistry
  • Otsego, MN
  • NPI 1801961073
  NPD (past) Authorized official
• Nicole Amy Giddings, DDS

  • General Practice Dentistry
  • St Louis Park, MN
  • NPI 1386703189
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1386312411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9075 QUADAY AVE NE STE 102",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 QUADAY AVE NE STE 102",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306673",
            "telephone_number": "763-972-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "SHEILS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "763-441-2452",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MN Center for Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PureHeath Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Michael Mersola
• Sierra Miks
• Ashley Miller
• Joyce Miller
• Mind Body Mirror LLC
• Minnesota Dental Professionals, P.C. (Dental Care on Parkview)
• Rebecca Moody, RN
• Chelsea Moriarity
• Deborah Mueller, LMFT
• Delphine Munya

• Dental Clinic/Center in Otsego, MN
• Providers in Otsego, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.