OrganizationActive
Orthodontic Specialists of Minnesota, PLLC
NPI 1013517093 · Orthodontics and Dentofacial Orthopedics Dentistry · Woodbury, MN
Provider details
- NPI number
- 1013517093
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shannon Hesse, Credentialing Specialist(651) 746-2815
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10150 City Walk Dr Apt C
Woodbury, MN 55129-9270
Phone: (651) 268-2992
Street-level locationGet directions
Mailing address
2200 County Road C W Ste 2210
Roseville, MN 55113-2551
Other names (DBA / former)
- Doing business as
- The Dental Specialist Orthodontics Woodbury
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.