Minnesota Dental Surgery PLLC
NPI 1124478607 · Dental Clinic/Center · Bloomington, MN
Minnesota Dental Surgery PLLC is a Dental Clinic/Center organization in Bloomington, MN (NPI 1124478607).
Provider details
- NPI number
- 1124478607
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bennett Isabella, Ceo(952) 215-7419
- License
- D12540 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Registry dates
- Enumerated
- 2016-06-15
- Last updated
- 2016-06-15
Frequently asked questions
- What is Minnesota Dental Surgery PLLC's NPI number?
- Minnesota Dental Surgery PLLC's National Provider Identifier (NPI) is 1124478607, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnesota Dental Surgery PLLC?
- Minnesota Dental Surgery PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Minnesota Dental Surgery PLLC located?
- Minnesota Dental Surgery PLLC's practice location on file with NPPES is 9801 Dupont Ave S, Bloomington, MN 55431-3100.
- What is Minnesota Dental Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Minnesota Dental Surgery PLLC is (952) 215-7419.
- Who is the authorized official for Minnesota Dental Surgery PLLC?
- The authorized official listed on Minnesota Dental Surgery PLLC's NPPES record is Bennett Isabella, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnesota Dental Surgery PLLC's NPI active?
- Yes — Minnesota Dental Surgery PLLC's NPI (1124478607) is active in the NPPES registry as of the last update on 2016-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.