OrganizationActive
Dental Specialists of Minnesota, PLLC
NPI 1710317417 · Periodontics · Lake Elmo, MN
Provider details
- NPI number
- 1710317417
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Alan Law, President(651) 633-0500
Specialties & taxonomies
Dental Providers
Practice location
11240 Stillwater Blvd N
Lake Elmo, MN 55042-9321
Phone: (651) 777-0210
Fax: (651) 777-0320
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
- 2013-11-15
- Last updated
- 2020-10-28
- 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.