OrganizationActive
Borealis Dental Wyoming PA
NPI 1750147492 · General Practice Dentistry · Wyoming, MN
Borealis Dental Wyoming PA is a General Practice Dentistry organization in Wyoming, MN (NPI 1750147492).
Provider details
- NPI number
- 1750147492
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sean Goolsby, President(651) 757-0482
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
26357 Forest Blvd # 2
Wyoming, MN 55092-8353
Phone: (651) 462-7017
Street-level locationGet directions
Mailing address
Po Box 886
Wyoming, MN 55092-0886
Registry dates
- Enumerated
- 2024-02-21
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Frequently asked questions
- What is Borealis Dental Wyoming PA's NPI number?
- Borealis Dental Wyoming PA's National Provider Identifier (NPI) is 1750147492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Borealis Dental Wyoming PA?
- Borealis Dental Wyoming PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Borealis Dental Wyoming PA located?
- Borealis Dental Wyoming PA's practice location on file with NPPES is 26357 Forest Blvd # 2, Wyoming, MN 55092-8353.
- What is Borealis Dental Wyoming PA's phone number?
- The practice phone number listed in the NPPES registry for Borealis Dental Wyoming PA is (651) 462-7017.
- Who is the authorized official for Borealis Dental Wyoming PA?
- The authorized official listed on Borealis Dental Wyoming PA's NPPES record is Sean Goolsby, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Borealis Dental Wyoming PA's NPI active?
- Yes — Borealis Dental Wyoming PA's NPI (1750147492) is active in the NPPES registry as of the last update on 2024-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.