Organization · Type 2 NPI

Wang Periodontics PLLC

Periodontics · Maple Grove, MN

NPI number 1093442048 Active

Practice location

12000 Elm Creek Blvd N Ste 320
Maple Grove, MN 55369-7076

Call (763) 420-0200 Map

Mailing address

18145 59th Ave N
Plymouth, MN 55446-3936

Specialties and licenses

Taxonomy	Code	License
Periodontics Primary	1223P0300X	None listed

Periodontics: 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.

Other periodontics providers in Maple Grove

See all in Maple Grove →

NPI record

NPI: 1093442048
Entity type: Organization (Type 2)
Issued: Aug 1, 2022
Last updated: Sep 7, 2022
Status: Active

Other names

<unavail>
Maple Grove Periodontics and Implant Dentistry · doing business as
Maple Grove Periodontics and Implant Dentistry · doing business as

Authorized official

Dr. Yun Wang, DDS, MS, PhD
President
(517) 648-3576

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1093442048

Wang Periodontics PLLC's National Provider Identifier is 1093442048, issued on Aug 1, 2022. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Maple Grove, MN. The record was last updated on Sep 7, 2022.