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Periodontal Specialists, PA — NPI 1740359546, Rochester, MN | NPI Central

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NPI 1740359546

OrganizationActive

Periodontal Specialists, PA

NPI 1740359546 · Periodontics · Rochester, MN

Provider details

NPI number: 1740359546
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Organization subpart: No
Authorized official: Tanyia Bucher, Practice Administrator(507) 451-8151
License: 07829 (MN)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense 07829 (MN)
Dental Providers

Practice location

2112 Viking Dr Nw

Rochester, MN 55901-3522

Phone: (507) 288-1338

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

2112 Viking Dr Nw

Rochester, MN 55901-3522

Registry dates

Enumerated: 2006-11-07
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.