Organization · Type 2 NPI
Dental Specialists of Minnesota, PLLC
Periodontics · Lake Elmo, MN
NPI number
1710317417
Active
Practice location
11240 Stillwater Blvd N
Lake Elmo, MN 55042-9321
Fax (651) 777-0320
Mailing address
2200 County Road C W, Suite 2210
Roseville, MN 55113-2550
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.
4 other providers at this address
About NPI 1710317417
Dental Specialists of Minnesota, PLLC's National Provider Identifier is 1710317417, issued on Nov 15, 2013. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Lake Elmo, MN. The record was last updated on Oct 28, 2020.