OrganizationActive
Minnesota Craniofacial Center P.C.
NPI 1104160480 · Clinic/Center · Saint Paul, MN
Minnesota Craniofacial Center P.C. is a Clinic/Center organization in Saint Paul, MN (NPI 1104160480).
Provider details
- NPI number
- 1104160480
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kim Ledermann, Dentist/Owner(651) 642-1013
- License
- 11715 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2550 University Ave W
Suite 143n
Saint Paul, MN 55114-1052
Phone: (651) 642-1013
Fax: (651) 642-0947
Street-level locationGet directions
Mailing address
2550 University Ave W
Saint Paul, MN 55114-1052
Registry dates
- Enumerated
- 2012-11-26
- Last updated
- 2015-06-11
Frequently asked questions
- What is Minnesota Craniofacial Center P.C.'s NPI number?
- Minnesota Craniofacial Center P.C.'s National Provider Identifier (NPI) is 1104160480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnesota Craniofacial Center P.C.?
- Minnesota Craniofacial Center P.C. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Minnesota Craniofacial Center P.C. located?
- Minnesota Craniofacial Center P.C.'s practice location on file with NPPES is 2550 University Ave W, Saint Paul, MN 55114-1052.
- What is Minnesota Craniofacial Center P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Minnesota Craniofacial Center P.C. is (651) 642-1013.
- Who is the authorized official for Minnesota Craniofacial Center P.C.?
- The authorized official listed on Minnesota Craniofacial Center P.C.'s NPPES record is Kim Ledermann, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnesota Craniofacial Center P.C.'s NPI active?
- Yes — Minnesota Craniofacial Center P.C.'s NPI (1104160480) is active in the NPPES registry as of the last update on 2015-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.