Pentagon Dental Group, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PENTAGON DENTAL GROUP, LTD

Practice address

4940 Viking Dr Ste 127
Edina, MN 55435-5306

Phone

(952) 835-3383

Fax

(952) 835-2818

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Michael J Perpich, D.D.S.NPI 1255428165

Title

Co-President

Phone

(952) 835-3383

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Perpich, D.D.S.

  • General Practice Dentistry
  • Edina, MN
  • NPI 1255428165
  NPD (past) Authorized official
• Jonathan C Moren, D.D.S.

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1710074638
  NPD (past)
• Larry F Wolff, D.D.S., PH.D.

  • Periodontics
  • Edina, MN
  • NPI 1629166350
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629166566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VIKING DR STE 127",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355306",
            "telephone_number": "952-835-3383",
            "fax_number": "952-835-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VIKING DR STE 127",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355306",
            "telephone_number": "952-835-3383",
            "fax_number": "952-835-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTAGON DENTAL GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERPICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "952-835-3383",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Marie Peloquin, PT, DPT
• Stephen Peltier, D.C.
• Heidi Peluf, COTA/L
• Nicole Peluso, CNP
• Kathryn Pendleton, M.D.
• Alexandra Nicole Perez Perez, MD
• Aaron Pergolski, RCEP
• Douglas L Pernula, DC
• Michael J Perpich, D.D.S.
• Shannon M Perron, RD, LD, CDE

• General Practice Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.