Organization · Type 2 NPI

Family Periodontic Specialists, PLC

Periodontics · St. Paul, MN

NPI number 1194474593 Active

Practice location

1375 Saint Anthony Ave
St. Paul, MN 55104-4006

Fax (651) 646-1342

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone 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.

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About NPI 1194474593

Family Periodontic Specialists, PLC's National Provider Identifier is 1194474593, issued on Mar 22, 2022. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. Paul, MN. The record was last updated on Mar 22, 2022.