OrganizationActive
Dental Specialist of Minnesota, PLLC
NPI 1568071199 · Oral and Maxillofacial Surgery (Dentist) · Wayzata, MN
Provider details
- NPI number
- 1568071199
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Shannon Hesse, Credentialing Specialist
Practice location
18258 Minnetonka Blvd Ste 100
Wayzata, MN 55391-3324
Phone: (952) 926-2761
Mailing address
2200 County Road C W Ste 2210
Roseville, MN 55113-2551
Registry dates
- Enumerated
- 2020-07-29
- Last updated
- 2020-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.