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MINNESOTA DENTAL PROFESSIONALS, P.C.
NPI 1114522992
Dentist - General Practice in Eagan, MN

Active since December 01, 2020
4555 ERIN DR STE 180, EAGAN, MN 55122(651) 681-9044 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Minnesota Dental Professionals, P.c. NPPES

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

MINNESOTA DENTAL PROFESSIONALS, P.C. (NPI 1114522992), doing business as Mosaic Dental-eagan, is a healthcare organization registered as a general practice in Eagan, Minnesota and active in the NPI registry since December 2020. The organization lists Tabatha Lemke, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114522992
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMINNESOTA DENTAL PROFESSIONALS, P.C.
Location Address4555 ERIN DR STE 180Eagan, MN 55122-3334
Mailing Address4555 Erin Dr Ste 180Eagan, MN 55122-3334
Phone(651) 681-9044
Organization SubpartYesParent: Heartland Dental
Authorized OfficialTabatha LemkeCredentialing Coordinator · (217) 540-6078
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1114522992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4555 ERIN DR STE 180, Eagan, MN 55122
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Other Names 1

Former Legal Business NameMosaic Dental-eagan

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

JACOB WILLIAM DES JARDINS
Dentist (General Practice)
4555 ERIN DR STE 180
EAGAN, MN 55122
Dakota County (651) 681-9044
DR. GLENN A PERKINS DDS
Dentist
4555 ERIN DR STE 180
EAGAN, MN 55122
Dakota County (651) 681-9044

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 Minnesota Dental Professionals, P.C.'s NPI number?

The NPI number for Minnesota Dental Professionals, P.C. is 1114522992. It was assigned to this organization in the NPPES registry on December 1, 2020. The provider was formerly known as Mosaic Dental-Eagan.

Where is Minnesota Dental Professionals, P.C. located?

Minnesota Dental Professionals, P.C. is located at 4555 Erin Dr Ste 180, Eagan, MN 55122. The listed phone number is (651) 681-9044.

What is Minnesota Dental Professionals, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Minnesota Dental Professionals, P.C. accept?

Health plans from UnitedHealthcare list Minnesota Dental Professionals, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Minnesota Dental Professionals, P.C. was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.