THE DENTAL SPECIALISTS
NPI 1003245333
Dentist - Periodontics in Fridley, MN

Active since November 07, 2013
1109 MOORE LAKE DR E, FRIDLEY, MN 55432(763) 571-9990(763) 572-2226 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Dental Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE DENTAL SPECIALISTS (NPI 1003245333) is a healthcare organization registered as a periodontics in Fridley, Minnesota and active in the NPI registry since November 2013. The organization lists Alan Law, President, as its authorized official.

NPPES Registry Identity

NPI1003245333
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameDENTAL SPECIALISTS OF MINNESOTA, PLLC
Location Address1109 MOORE LAKE DR EFridley, MN 55432-5171
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2550 · (651) 633-0500 · Fax (651) 636-6350
Fax(763) 572-2226
Organization SubpartNo
Authorized OfficialAlan LawPresident · (651) 633-0500
Enumeration DateNovember 7, 2013
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1003245333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1109 MOORE LAKE DR E, Fridley, MN 55432

Other Names 1

Doing Business AsThe Dental Specialists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
1109 MOORE LAKE DR E
FRIDLEY, MN 55432
Dentist (Orthodontics and Dentofacial Orthopedics)
1109 MOORE LAKE DR E
FRIDLEY, MN 55432
Clinic/Center (Dental)
1109 MOORE LAKE DR E
FRIDLEY, MN 55432

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003245333, enumerated as an "organization" on November 07, 2013.

The provider is located at 1109 MOORE LAKE DR E FRIDLEY, MN 55432 and the phone number is (763) 571-9990.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.