OrganizationActive
Metropolitan Periodontists, P.A.
NPI 1982775235 · Periodontics · Minneapolis, MN
Provider details
- NPI number
- 1982775235
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Mark Wilson, Owner(612) 332-0869
- License
- 8580 (MN)
Specialties & taxonomies
Dental Providers
Practice location
825 Nicollet Mall
Suite 210
Minneapolis, MN 55402-2606
Phone: (612) 332-0869
Fax: (612) 332-2891
Approximate (ZIP-level) locationGet directions
Mailing address
825 Nicollet Mall
Minneapolis, MN 55402-2606
Registry dates
- Enumerated
- 2006-11-10
- 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.