OrganizationActive
Family Periodontic Specialists, PLC
NPI 1194474593 · Periodontics · Saint Paul, MN
Family Periodontic Specialists, PLC is a Periodontics organization in Saint Paul, MN (NPI 1194474593).
Provider details
- NPI number
- 1194474593
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Parent organization
- Family Periodontic Specialists, PLC
- Organization subpart
- Yes
- Authorized official
- Celia Hayes, Credentialing Coordinator(217) 540-2100
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1375 Saint Anthony Ave
Saint Paul, MN 55104-4006
Phone: (651) 645-4671
Fax: (651) 646-1342
Street-level locationGet directions
Mailing address
1375 Saint Anthony Ave
Saint Paul, MN 55104-4006
Other names (DBA / former)
- Doing business as
- Metro Dentalcare St. Paul Midway - Periodontics
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Frequently asked questions
- What is Family Periodontic Specialists, PLC's NPI number?
- Family Periodontic Specialists, PLC's National Provider Identifier (NPI) is 1194474593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Periodontic Specialists, PLC?
- Family Periodontic Specialists, PLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Family Periodontic Specialists, PLC located?
- Family Periodontic Specialists, PLC's practice location on file with NPPES is 1375 Saint Anthony Ave, Saint Paul, MN 55104-4006.
- What is Family Periodontic Specialists, PLC's phone number?
- The practice phone number listed in the NPPES registry for Family Periodontic Specialists, PLC is (651) 645-4671.
- Who is the authorized official for Family Periodontic Specialists, PLC?
- The authorized official listed on Family Periodontic Specialists, PLC's NPPES record is Celia Hayes, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Periodontic Specialists, PLC's NPI active?
- Yes — Family Periodontic Specialists, PLC's NPI (1194474593) is active in the NPPES registry as of the last update on 2022-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.