OrganizationActive
Minnesota Dental Professionals, P.C.
NPI 1144064700 · General Practice Dentistry · Albertville, MN
Provider details
- NPI number
- 1144064700
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Minnesota Dental Professionals, P.C.
- Organization subpart
- Yes
- Authorized official
- Cemyira Mcdougal, Credentialing Coordinator(217) 764-8609
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
5047 Jason Ave Ne
Albertville, MN 55301-9688
Phone: (763) 497-8165
Street-level locationGet directions
Mailing address
5047 Jason Ave Ne
Albertville, MN 55301-9688
Other names (DBA / former)
- Doing business as
- Albertville Family Dental
Registry dates
- Enumerated
- 2024-06-19
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.