FAMILY PERIODONTIC SPECIALISTS, PLC
NPI 1487303889
Dentist - Periodontics in Maple Grove, MN

Active since March 22, 2022
15785 95TH AVE N, MAPLE GROVE, MN 55369(763) 233-4141(763) 420-3158 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Periodontic Specialists, Plc NPPES

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

FAMILY PERIODONTIC SPECIALISTS, PLC (NPI 1487303889), doing business as Metro Dentalcare Specialty Center Maple Grove - Periodontics, is a healthcare organization registered as a periodontics in Maple Grove, Minnesota and active in the NPI registry since March 2022. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1487303889
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameFAMILY PERIODONTIC SPECIALISTS, PLC
Location Address15785 95TH AVE NMaple Grove, MN 55369-4404
Mailing Address15785 95th Ave NMaple Grove, MN 55369-4404 · (763) 233-4141 · Fax (763) 420-3158
Fax(763) 420-3158
Organization SubpartYes
Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
NPI 1487303889 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.

15785 95TH AVE N, Maple Grove, MN 55369

Other Names 1

Doing Business AsMetro Dentalcare Specialty Center Maple Grove - 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 14

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

Dentist (General Practice)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (General Practice)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (Endodontics)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (General Practice)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (Oral and Maxillofacial Pathology)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (General Practice)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (General Practice)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (Oral and Maxillofacial Surgery)
15785 95TH AVE N
MAPLE GROVE, MN 55369

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 Family Periodontic Specialists, Plc's NPI number?

The NPI number for Family Periodontic Specialists, Plc is 1487303889. It was assigned to this organization in the NPPES registry on March 22, 2022. The provider is doing business as Metro Dentalcare Specialty Center Maple Grove - Periodontics.

Where is Family Periodontic Specialists, Plc located?

Family Periodontic Specialists, Plc is located at 15785 95th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 233-4141.

What is Family Periodontic Specialists, Plc's specialty?

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

When was this NPI record last updated?

The NPPES record for Family Periodontic Specialists, Plc was last updated on March 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.