THE DENTAL SPECIALIST OF MINNESOTA, PLLC
NPI 1265097653
Dentist - Oral and Maxillofacial Surgery in Stillwater, MN

Active since May 01, 2019
13961 60TH ST N, STILLWATER, MN 55082(651) 760-3681(651) 760-3683 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 28, 2020, May 1, 2019 (2 updates tracked since 2019).

About The Dental Specialist Of Minnesota, Pllc NPPES

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

THE DENTAL SPECIALIST OF MINNESOTA, PLLC (NPI 1265097653), doing business as The Dental Specialist St Croix Valley, is a healthcare organization registered as an oral and maxillofacial surgery in Stillwater, Minnesota and active in the NPI registry since May 2019. The organization lists Shannon Hesse, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1265097653
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTHE DENTAL SPECIALIST OF MINNESOTA, PLLC
Location Address13961 60TH ST NStillwater, MN 55082-1053
Mailing Address2200 County Road C W Ste 2210Roseville, MN 55113-2551
Fax(651) 760-3683
Organization SubpartNo
Authorized OfficialShannon HesseCredentialing Specialist · (651) 746-2815
Enumeration DateMay 1, 2019
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
NPI 1265097653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
13961 60TH ST N, Stillwater, MN 55082

Other Names 1

Doing Business AsThe Dental Specialist St Croix Valley

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 12

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

Dentist
13961 60TH ST N
STILLWATER, MN 55082
Clinic/Center (Dental)
13961 60TH ST N
STILLWATER, MN 55082
Clinic/Center (Dental)
13961 60TH ST N
STILLWATER, MN 55082
Dentist
13961 60TH ST N
STILLWATER, MN 55082
Dentist
13961 60TH ST N
STILLWATER, MN 55082
Dentist (General Practice)
13961 60TH ST N
STILLWATER, MN 55082
Dentist
13961 60TH ST N
STILLWATER, MN 55082
Dentist (Orthodontics and Dentofacial Orthopedics)
13961 60TH ST N
STILLWATER, MN 55082

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 The Dental Specialist Of Minnesota, PLLC's NPI number?

The NPI number for The Dental Specialist Of Minnesota, PLLC is 1265097653. It was assigned to this organization in the NPPES registry on May 1, 2019. The provider is doing business as The Dental Specialist St Croix Valley.

Where is The Dental Specialist Of Minnesota, PLLC located?

The Dental Specialist Of Minnesota, PLLC is located at 13961 60th St N, Stillwater, MN 55082. The listed phone number is (651) 760-3681.

What is The Dental Specialist Of Minnesota, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for The Dental Specialist Of Minnesota, PLLC was last updated on October 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.