Organization · Type 2 NPI

Maple Grove Periodontics and Implant Dentistry

Periodontics · Maple Grove, MN

NPI number 1891295861 Active

Practice location

12000 Elm Creek Blvd N
Maple Grove, MN 55369-7073

Call (763) 420-0200 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XS125 (MN)

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 1891295861

Maple Grove Periodontics and Implant Dentistry's National Provider Identifier is 1891295861, issued on Feb 16, 2018. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Maple Grove, MN. The record was last updated on Feb 16, 2018.