OrganizationActive
Maple Grove Periodontics and Implant Dentistry
NPI 1891295861 · Periodontics · Maple Grove, MN
Maple Grove Periodontics and Implant Dentistry is a Periodontics organization in Maple Grove, MN (NPI 1891295861).
Provider details
- NPI number
- 1891295861
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jennifer Sullivan, Periodontist/Owner(646) 808-9088
- License
- S125 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
12000 Elm Creek Blvd N
Maple Grove, MN 55369-7073
Phone: (763) 420-0200
Street-level locationGet directions
Mailing address
12000 Elm Creek Blvd N
Maple Grove, MN 55369-7073
Registry dates
- Enumerated
- 2018-02-16
- Last updated
- 2018-02-16
Frequently asked questions
- What is Maple Grove Periodontics and Implant Dentistry's NPI number?
- Maple Grove Periodontics and Implant Dentistry's National Provider Identifier (NPI) is 1891295861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maple Grove Periodontics and Implant Dentistry?
- Maple Grove Periodontics and Implant Dentistry is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Maple Grove Periodontics and Implant Dentistry located?
- Maple Grove Periodontics and Implant Dentistry's practice location on file with NPPES is 12000 Elm Creek Blvd N, Maple Grove, MN 55369-7073.
- What is Maple Grove Periodontics and Implant Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Maple Grove Periodontics and Implant Dentistry is (763) 420-0200.
- Who is the authorized official for Maple Grove Periodontics and Implant Dentistry?
- The authorized official listed on Maple Grove Periodontics and Implant Dentistry's NPPES record is Jennifer Sullivan, Periodontist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maple Grove Periodontics and Implant Dentistry's NPI active?
- Yes — Maple Grove Periodontics and Implant Dentistry's NPI (1891295861) is active in the NPPES registry as of the last update on 2018-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.