Organization · Type 2 NPI

Family Periodontic Specialists, PLC

Periodontics · Burnsville, MN

NPI number 1326797713 Active

Practice location

14344 Burnhaven Dr
Burnsville, MN 55306-4928

Fax (952) 898-4109

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.

12 other providers at this address

NPI record

NPI: 1326797713
Entity type: Organization (Type 2)
Issued: Mar 22, 2022
Last updated: Mar 22, 2022
Status: Active
Subpart: Yes of Family Periodontic Specialists, PLC

Other names

Metro Dentalcare Specialty Center Burnsville - Periodontics · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

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.

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About NPI 1326797713

Family Periodontic Specialists, PLC's National Provider Identifier is 1326797713, issued on Mar 22, 2022. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Burnsville, MN. The record was last updated on Mar 22, 2022.