MITCHELL LEE PAGE DDS, MS
NPI 1275649394
Dentist - Endodontics in Maple Grove, MN

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223E0200X and a focus in Endodontics.

Active since August 22, 2006PECOS Enrolled

15785 95TH AVE N, MAPLE GROVE, MN 55369(763) 233-4140(763) 420-3158 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mitchell Lee Page Dds, Ms NPPES

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

MITCHELL LEE PAGE DDS, MS (NPI 1275649394) is an individual endodontics provider in Maple Grove, Minnesota, licensed in Minnesota (10211) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275649394

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameMITCHELL LEE PAGECredential: DDS, MS

Location Address15785 95TH AVE NMaple Grove, MN 55369-4404

Mailing Address15875 95th Avenue NMaple Grove, MN 55369 · (763) 233-4140 · Fax (763) 420-3158

Phone(763) 233-4140

Fax(763) 420-3158

Sole ProprietorNo

Enumeration DateAugust 22, 2006

Last NPPES UpdateJuly 30, 2019

✔ NPI 1275649394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

Licenses✔ Licensed in MN · 10211✔ Licensed in WI · 3179

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

15785 95TH AVE N, Maple Grove, MN 55369

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Other Identifiers 2

Other48114PAMN · Bc/bs

Other391719255MN · Delta Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Lee Page Dds, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

DR. KYLE PATRICK GEARHART DDS

Dentist (General Practice)