Dental Specialist of Minnesota, PLLC
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Wayzata, MN
NPI 1568071199 · NPPES record last updated Jul 29, 2020
Key facts
- NPI
- 1568071199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- Legal business name
- DENTAL SPECIALIST OF MINNESOTA, PLLC
- Practice address
- 18258 Minnetonka Blvd Ste 100
Wayzata, MN 55391-3324 - Phone
- (952) 926-2761
- NPI assigned
- Jul 29, 2020
- Organization subpart
- No
Authorized official
- Name
- Shannon Hesse
- Title
- Credentialing Specialist
- Phone
- (651) 746-2815
Corporate family (same tax ID) 29
Practitioners 1
-
Varun Singh, BDS
National Provider Directory
- Tax ID family
- Dental Specialists of Minnesota PLLC
Locations
18258 Minnetonka Blvd
Ste 100
Wayzata, MN 55391
Phone (952) 241-5815
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | |||
| Pediatric Dentistry |
1223P0221X | |||
| Periodontics |
1223P0300X | |||
| Prosthodontics |
1223P0700X | |||
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | Yes |
Addresses
Primary practice location
18258 Minnetonka Blvd Ste 100
Wayzata, MN 55391-3324
Mailing address
2200 County Road C W Ste 2210
Roseville, MN 55113-2551
Phone (651) 746-2815
Other names
- The Dental Specialist Deephaven
Other providers in Wayzata, MN
- Naomi Damask
- Joshua Dean Daniel
- Luc Rene De la Villefromoy
- Deephaven Chiropractic, P.a.
- Deephaven Phcy Inc
- Elizabeth Deshler
- Jessica Marie Desjardins
- Luciana Alexandra Di Biagio
- Distinctive Eyewear LLC
- Dr. Daniel S. Tierney, LLC
All providers in Wayzata, MN · Oral and Maxillofacial Surgery (Dentist) in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.