IndividualActive
Connor Peck, DDS
NPI 1821581760 · Orofacial Pain Dentistry · Minneapolis, MN
Provider details
- NPI number
- 1821581760
- Entity type
- Individual
- Primary specialty
- Orofacial Pain DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- R713 (MN)
Mailing address
2410 University Ave W Ste 110
Saint Paul, MN 55114-1978
Registry dates
- Enumerated
- 2018-06-13
- Last updated
- 2019-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.