OrganizationActive
Excel Dentistry PLLC
NPI 1720413263 · Dentist · Wayzata, MN
Provider details
- NPI number
- 1720413263
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Aleksandr Shibko, Partner(952) 746-3233
- License
- D12180 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1421 Wayzata Blvd
Suite 320
Wayzata, MN 55391-1939
Phone: (952) 475-2907
Fax: (952) 475-2343
Street-level locationGet directions
Mailing address
1421 Wayzata Blvd
Wayzata, MN 55391-1939
Registry dates
- Enumerated
- 2013-09-03
- Last updated
- 2013-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.