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Minnesota Periodontal Associates, PA — NPI 1508300252, White Bear Lake, MN | NPI Central

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NPI 1508300252

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Minnesota Periodontal Associates, PA

NPI 1508300252 · Periodontics · White Bear Lake, MN

Provider details

NPI number: 1508300252
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Authorized official: Connie Lee, Periodontist
License: D13190 (MN)

Practice location

4801 Hwy 61 N.

Suite 300

White Bear Lake, MN 55110-2753

Phone: (651) 429-2299

More MN providers

Mailing address

4801 Hwy 61 N.

White Bear Lake, MN 55110

Registry dates

Enumerated: 2016-12-15
Last updated: 2016-12-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.