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DENTAL SPECIALIST OF MINNESOTA, PLLC
NPI 1568071199
Dentist - Oral and Maxillofacial Surgery in Wayzata, MN

Active since July 29, 2020
18258 MINNETONKA BLVD STE 100, WAYZATA, MN 55391(952) 926-2761 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dental Specialist Of Minnesota, Pllc NPPES

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

DENTAL SPECIALIST OF MINNESOTA, PLLC (NPI 1568071199), doing business as The Dental Specialist Deephaven, is a healthcare organization registered as an oral and maxillofacial surgery in Wayzata, Minnesota and active in the NPI registry since July 2020. The organization lists Shannon Hesse, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1568071199
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDENTAL SPECIALIST OF MINNESOTA, PLLC
Location Address18258 MINNETONKA BLVD STE 100Wayzata, MN 55391-3324
Mailing Address2200 County Road C W Ste 2210Roseville, MN 55113-2551 · (651) 746-2815
Phone(952) 926-2761
Organization SubpartNo
Authorized OfficialShannon HesseCredentialing Specialist · (651) 746-2815
Enumeration DateJuly 29, 2020
NPPES CertifiedJuly 29, 2020
✔ NPI 1568071199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
18258 MINNETONKA BLVD STE 100, Wayzata, MN 55391
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Other Names 1

Doing Business AsThe Dental Specialist Deephaven

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

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

DR. VARUN SINGH BDS
Dentist (Endodontics)
18258 MINNETONKA BLVD STE 100
WAYZATA, MN 55391
Hennepin County (952) 241-5815

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 Dental Specialist Of Minnesota, PLLC's NPI number?

The NPI number for Dental Specialist Of Minnesota, PLLC is 1568071199. It was assigned to this organization in the NPPES registry on July 29, 2020. The provider is doing business as The Dental Specialist Deephaven.

Where is Dental Specialist Of Minnesota, PLLC located?

Dental Specialist Of Minnesota, PLLC is located at 18258 Minnetonka Blvd Ste 100, Wayzata, MN 55391. The listed phone number is (952) 926-2761.

What is 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 Dental Specialist Of Minnesota, PLLC was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.