OrganizationActive
Mdo Periodontics PA
NPI 1558516369 · Periodontics · Sartell, MN
Mdo Periodontics PA is a Periodontics organization in Sartell, MN (NPI 1558516369).
Provider details
- NPI number
- 1558516369
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Michelle Grundhoefer, Office Manager(320) 240-9028
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1900 Kruchten Ct S
Ste. 101
Sartell, MN 56377-4730
Phone: (320) 240-9028
Fax: (320) 240-9048
Street-level locationGet directions
Mailing address
1900 Kruchten Ct S
Sartell, MN 56377-4730
Registry dates
- Enumerated
- 2008-11-20
- Last updated
- 2008-11-20
Frequently asked questions
- What is Mdo Periodontics PA's NPI number?
- Mdo Periodontics PA's National Provider Identifier (NPI) is 1558516369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mdo Periodontics PA?
- Mdo Periodontics PA is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Mdo Periodontics PA located?
- Mdo Periodontics PA's practice location on file with NPPES is 1900 Kruchten Ct S, Sartell, MN 56377-4730.
- What is Mdo Periodontics PA's phone number?
- The practice phone number listed in the NPPES registry for Mdo Periodontics PA is (320) 240-9028.
- Who is the authorized official for Mdo Periodontics PA?
- The authorized official listed on Mdo Periodontics PA's NPPES record is Michelle Grundhoefer, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mdo Periodontics PA's NPI active?
- Yes — Mdo Periodontics PA's NPI (1558516369) is active in the NPPES registry as of the last update on 2008-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.