Minnesota Dental Professionals, P.C.
NPI 1114781739 · General Practice Dentistry · Lino Lakes, MN
Minnesota Dental Professionals, P.C. is a General Practice Dentistry organization in Lino Lakes, MN (NPI 1114781739).
Provider details
- NPI number
- 1114781739
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Heartland Dental
- Organization subpart
- Yes
- Authorized official
- Hillary Thull, Credentialing Coordinator(217) 540-8946
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Blue Heron Dental Care
- Doing business as
- Blue Heron Dental Care
Registry dates
- Enumerated
- 2024-02-13
- Last updated
- 2024-07-24
- Certified
- 2024-07-24
Frequently asked questions
- What is Minnesota Dental Professionals, P.C.'s NPI number?
- Minnesota Dental Professionals, P.C.'s National Provider Identifier (NPI) is 1114781739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnesota Dental Professionals, P.C.?
- Minnesota Dental Professionals, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Minnesota Dental Professionals, P.C. located?
- Minnesota Dental Professionals, P.C.'s practice location on file with NPPES is 601 Apollo Dr Ste 110, Lino Lakes, MN 55014-3020.
- What is Minnesota Dental Professionals, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Minnesota Dental Professionals, P.C. is (763) 542-3765.
- Who is the authorized official for Minnesota Dental Professionals, P.C.?
- The authorized official listed on Minnesota Dental Professionals, P.C.'s NPPES record is Hillary Thull, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnesota Dental Professionals, P.C.'s NPI active?
- Yes — Minnesota Dental Professionals, P.C.'s NPI (1114781739) is active in the NPPES registry as of the last update on 2024-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.