OrganizationActive
Wang Periodontics PLLC
NPI 1093442048 · Periodontics · Maple Grove, MN
Wang Periodontics PLLC is a Periodontics organization in Maple Grove, MN (NPI 1093442048).
Provider details
- NPI number
- 1093442048
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Yun Wang, President(517) 648-3576
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
12000 Elm Creek Blvd N Ste 320
Maple Grove, MN 55369-7076
Phone: (763) 420-0200
Street-level locationGet directions
Mailing address
18145 59th Ave N
Plymouth, MN 55446-3936
Other names (DBA / former)
- Doing business as
- Maple Grove Periodontics and Implant Dentistry
- Doing business as
- Maple Grove Periodontics and Implant Dentistry
Registry dates
- Enumerated
- 2022-08-01
- Last updated
- 2022-09-07
- Certified
- 2022-09-07
Frequently asked questions
- What is Wang Periodontics PLLC's NPI number?
- Wang Periodontics PLLC's National Provider Identifier (NPI) is 1093442048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wang Periodontics PLLC?
- Wang Periodontics PLLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Wang Periodontics PLLC located?
- Wang Periodontics PLLC's practice location on file with NPPES is 12000 Elm Creek Blvd N Ste 320, Maple Grove, MN 55369-7076.
- What is Wang Periodontics PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wang Periodontics PLLC is (763) 420-0200.
- Who is the authorized official for Wang Periodontics PLLC?
- The authorized official listed on Wang Periodontics PLLC's NPPES record is Yun Wang, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wang Periodontics PLLC's NPI active?
- Yes — Wang Periodontics PLLC's NPI (1093442048) is active in the NPPES registry as of the last update on 2022-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.