IndividualActive
Charles Mccann, DDS MS
NPI 1720138886 · Periodontics · Minneapolis, MN
Provider details
- NPI number
- 1720138886
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS MS
- Sex
- Male
- Sole proprietor
- No
- License
- D11295 (NE)
Specialties & taxonomies
Dental Providers
Practice location
825 Nicollet Mall
Suite 401 Medical Arts Building
Minneapolis, MN 55402-2611
Phone: (612) 339-5593
Fax: (612) 339-5594
Approximate (ZIP-level) locationGet directions
Mailing address
825 Nicollet Mall
Minneapolis, MN 55402-2611
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.