Dental Specialist of Minnesota, Pllc

NPI #1568071199 in Wayzata, Minnesota

Provider Information

NPI Number: 1568071199
Entity Type: Organization
Organization Name: Dental Specialist of Minnesota, Pllc
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Jul 29, 2020
Last Updated: Jul 29, 2020

Practice Location

Address: 18258 MINNETONKA BLVD STE 100
City: Wayzata
State: Minnesota
ZIP Code: 55391-3324
Phone: (952) 926-2761

Authorized Official

Name: SHANNON HESSE
Title: CREDENTIALING SPECIALIST
Phone: (651) 746-2815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. David R Jennings, DDS	Dentist - Oral and Maxillofacial Surgery	Duluth	AI Deep Dive
Lawrence H Kent, DDS	Dentist - Oral and Maxillofacial Surgery	Roseville	AI Deep Dive
DR. Jerry Kent Brunsoman, D.D.S., M.S.	Dentist - Oral and Maxillofacial Surgery	Maplewood	AI Deep Dive
DR. Beth Ann Gavren, DDS	Dentist - Oral and Maxillofacial Surgery	Maple Grove	AI Deep Dive

Organizations

Provider Name	Specialty	City
Oral and Maxillofacial Surgical Consultants PA	Dentist - Oral and Maxillofacial Surgery	Wayzata	AI Deep Dive

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