1. Home
  2. Directory
  3. Minnesota
  4. Lino Lakes
  5. Dentist
  6. NPI Profile

BLUE HERON DENTAL CARE
NPI 1114781739
Dentist - General Practice in Lino Lakes, MN

Active since February 13, 2024
601 APOLLO DR STE 110, LINO LAKES, MN 55014(763) 542-3765 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Heron Dental Care NPPES

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

BLUE HERON DENTAL CARE (NPI 1114781739) is a healthcare organization registered as a general practice in Lino Lakes, Minnesota and active in the NPI registry since February 2024. The organization lists Hillary Thull, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114781739
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMINNESOTA DENTAL PROFESSIONALS, P.C.
Location Address601 APOLLO DR STE 110Lino Lakes, MN 55014-3020
Mailing Address601 Apollo Dr Ste 110Lino Lakes, MN 55014-3020
Phone(763) 542-3765
Organization SubpartYesParent: Heartland Dental
Authorized OfficialHillary ThullCredentialing Coordinator · (217) 540-8946
Enumeration DateFebruary 13, 2024
Last NPPES UpdateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
✔ NPI 1114781739 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.
601 APOLLO DR STE 110, Lino Lakes, MN 55014
Open in Google Maps ↗

Other Names 1

Doing Business AsBlue Heron Dental Care

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

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

JACQUELINE SUMZIN DDS
Dentist
601 APOLLO DR STE 110
LINO LAKES, MN 55014
Anoka County (638) 786-4497

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 1114781739. It was assigned to this organization in the NPPES registry on February 13, 2024. The provider is doing business as Blue Heron Dental Care.

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

Minnesota Dental Professionals, P.C. is located at 601 Apollo Dr Ste 110, Lino Lakes, MN 55014. The listed phone number is (763) 542-3765.

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 July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.