FAMILY PERIODONTIC SPECIALISTS, PLC
NPI 1194474593
Dentist - Periodontics in Saint Paul, MN

Q: What is Family Periodontic Specialists, Plc's NPI number?

The NPI number for Family Periodontic Specialists, Plc is 1194474593. It was assigned to this organization in the NPPES registry on March 22, 2022. The provider is doing business as Metro Dentalcare St. Paul Midway - Periodontics.

Q: What is Family Periodontic Specialists, Plc's specialty?

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

Active since March 22, 2022

1375 SAINT ANTHONY AVE, SAINT PAUL, MN 55104(651) 645-4671(651) 646-1342 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Family Periodontic Specialists, Plc NPPES

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

FAMILY PERIODONTIC SPECIALISTS, PLC (NPI 1194474593), doing business as Metro Dentalcare St. Paul Midway - Periodontics, is a healthcare organization registered as a periodontics in Saint Paul, Minnesota and active in the NPI registry since March 2022. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1194474593

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameFAMILY PERIODONTIC SPECIALISTS, PLC

Location Address1375 SAINT ANTHONY AVESaint Paul, MN 55104-4006

Mailing Address1375 Saint Anthony AveSaint Paul, MN 55104-4006 · (651) 645-4671 · Fax (651) 646-1342

Phone(651) 645-4671

Fax(651) 646-1342

Organization SubpartYes

Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100

Enumeration DateMarch 22, 2022

NPPES CertifiedMarch 22, 2022

✔ NPI 1194474593 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.

1375 SAINT ANTHONY AVE, Saint Paul, MN 55104

Open in Google Maps ↗

Other Names 1

Doing Business AsMetro Dentalcare St. Paul Midway - Periodontics

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

FAMILY ORTHODONTIC SPECIALISTS PLC

Dentist (General Practice)