OrganizationActive
Dental Specialists of Minnesota, PLLC
NPI 1396095048 · Oral and Maxillofacial Surgery (Dentist) · Coon Rapids, MN
Provider details
- NPI number
- 1396095048
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Alan Law, President(651) 633-0500
Specialties & taxonomies
Dental Providers
Practice location
3360 Northdale Blvd.
Coon Rapids, MN 55448-1825
Phone: (763) 201-6962
Fax: (952) 201-1183
Approximate (ZIP-level) locationGet directions
Mailing address
2200 County Road C W
Roseville, MN 55113-2550
Other names (DBA / former)
- Doing business as
- The Dental Specialists
Registry dates
- Enumerated
- 2012-09-10
- Last updated
- 2022-07-21
- Certified
- 2020-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.