OrganizationActive
Metropolitan Periodontists
NPI 1669199741 · Periodontics · Minneapolis, MN
Provider details
- NPI number
- 1669199741
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Mark Wilson, Dentist(612) 332-0869
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
825 Nicollet Mall
Ste. 210
Minneapolis, MN 55402-2618
Phone: (612) 332-0869
Fax: (612) 332-2891
Street-level locationGet directions
Mailing address
825 Nicollet Mall
Minneapolis, MN 55402-2618
Registry dates
- Enumerated
- 2022-10-20
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.