LEILANI L LABELLE DDS MS
NPI 1720252349
Dentist - Periodontics in Maple Grove, MN

Q: What is Leilani Labelle's NPI number?

The NPI number for Leilani Labelle is 1720252349. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Q: What is Leilani Labelle's specialty?

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

Q: Is Leilani Labelle enrolled in Medicare?

No. Leilani Labelle has opted out of Medicare through August 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Leilani Labelle was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 15, 2008Opted out of Medicare · through Aug 16, 2027

12000 ELM CREEK BLVD, #320, MAPLE GROVE, MN 55369(763) 420-0200(763) 420-0204 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Leilani L Labelle Dds Ms NPPES

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

LEILANI L LABELLE DDS MS (NPI 1720252349) is an individual periodontics provider in Maple Grove, Minnesota, licensed in Minnesota (D9944) and active in the NPI registry since April 2008. She has opted out of Medicare through August 16, 2027.

NPPES Registry Identity

NPI1720252349

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameLEILANI L LABELLECredential: DDS MS

Location Address12000 ELM CREEK BLVD, #320Maple Grove, MN 55369

Mailing Address12000 Elm Creek Blvd, #320Maple Grove, MN 55369 · (763) 420-0200 · Fax (763) 420-0204

Phone(763) 420-0200

Fax(763) 420-0204

Sole ProprietorYes

Enumeration DateApril 15, 2008

✔ NPI 1720252349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MN · D9944

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.

12000 ELM CREEK BLVD, Maple Grove, MN 55369

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Leilani L Labelle Dds Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 16, 2021 through August 16, 2027.

Opt-Out Effective DateAugust 16, 2021

Opt-Out In Effect ThroughAugust 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS

Dentist (Endodontics)

12000 ELM CREEK BLVD, SUITE 240
MAPLE GROVE, MN 55369

Hennepin County (763) 416-3619

RICHARD JOHN MORRIS M.D.

Allergy & Immunology (Allergy)

12000 ELM CREEK BLVD, SUITE 200
MAPLE GROVE, MN 55369

Hennepin County (763) 420-1010

SOUND ZZZ MEDICAL EQUIPMENT

Durable Medical Equipment & Medical Supplies

12000 ELM CREEK BLVD, SUITE 360B
MAPLE GROVE, MN 55369

Hennepin County (763) 315-4300

NORTHSTAR NEUROLOGICAL CLINIC LTD

Psychiatry & Neurology (Neurology)

12000 ELM CREEK BLVD, SUITE 330
MAPLE GROVE, MN 55369

Hennepin County (763) 416-1400

AFFILIATED OTOLARYNGOLOGISTS PA

Otolaryngology

12000 ELM CREEK BLVD, #L20
MAPLE GROVE, MN 55369

Hennepin County (763) 494-9882

ABIGAIL MARIE CARHILL MA, CCC-SLP

Speech-Language Pathologist

12000 ELM CREEK BLVD, SUITE 210- NORTH MEMORIAL REHAB SERVICES
MAPLE GROVE, MN 55369

Hennepin County (763) 520-4916

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 Leilani Labelle's NPI number?

The NPI number for Leilani Labelle is 1720252349. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Leilani Labelle located?

Leilani Labelle practices at 12000 Elm Creek Blvd #320, Maple Grove, MN 55369. The listed phone number is (763) 420-0200.

What is Leilani Labelle's specialty?

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

Is Leilani Labelle enrolled in Medicare?

No. Leilani Labelle has opted out of Medicare through August 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Leilani Labelle was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.