1. Home
  2. Directory
  3. Minnesota
  4. Maple Grove
  5. Dentist
  6. NPI Profile

MAPLE GROVE PERIODONTICS AND IMPLANT DENTISTRY
NPI 1093442048
Dentist - Periodontics in Maple Grove, MN

Active since August 01, 2022
12000 ELM CREEK BLVD N STE 320, MAPLE GROVE, MN 55369(763) 420-0200 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2022, Aug 1, 2022 (2 updates tracked since 2022).

About Maple Grove Periodontics And Implant Dentistry NPPES

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

MAPLE GROVE PERIODONTICS AND IMPLANT DENTISTRY (NPI 1093442048) is a healthcare organization registered as a periodontics in Maple Grove, Minnesota and active in the NPI registry since August 2022. The organization lists Yun Wang, President, as its authorized official.

NPPES Registry Identity

NPI1093442048
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameWANG PERIODONTICS PLLC
Location Address12000 ELM CREEK BLVD N STE 320Maple Grove, MN 55369-7076
Mailing Address18145 59th Ave NPlymouth, MN 55446-3936 · (517) 648-3576
Phone(763) 420-0200
Organization SubpartNo
Authorized OfficialYun WangPresident · (517) 648-3576
Enumeration DateAugust 1, 2022
Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1093442048 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.
12000 ELM CREEK BLVD N STE 320, Maple Grove, MN 55369
Open in Google Maps ↗

Other Names 1

Doing Business AsMaple Grove Periodontics And Implant Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wang Periodontics PLLC's NPI number?

The NPI number for Wang Periodontics PLLC is 1093442048. It was assigned to this organization in the NPPES registry on August 1, 2022. The provider is doing business as Maple Grove Periodontics And Implant Dentistry.

Where is Wang Periodontics PLLC located?

Wang Periodontics PLLC is located at 12000 Elm Creek Blvd N Ste 320, Maple Grove, MN 55369. The listed phone number is (763) 420-0200.

What is Wang Periodontics PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Wang Periodontics PLLC was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.