PERIODONTAL SPECIALISTS, PA
NPI 1740359546
Dentist - Periodontics in Rochester, MN

Active since November 07, 2006
2112 VIKING DR NW, ROCHESTER, MN 55901(507) 288-1338 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Periodontal Specialists, Pa NPPES

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

PERIODONTAL SPECIALISTS, PA (NPI 1740359546) is a healthcare organization registered as a periodontics in Rochester, Minnesota and active in the NPI registry since November 2006. The organization lists Tanyia Bucher, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1740359546
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL SPECIALISTS, PA
Location Address2112 VIKING DR NWRochester, MN 55901-3522
Mailing Address2112 Viking Dr NwRochester, MN 55901-3522 · (507) 288-1338
Organization SubpartNo
Authorized OfficialTanyia BucherPractice Administrator · (507) 451-8151
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1740359546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in MN · 07829
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.
2112 VIKING DR NW, Rochester, MN 55901

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 15

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

Clinic/Center (Dental)
2112 VIKING DR NW
ROCHESTER, MN 55901
Dentist (Periodontics)
2112 VIKING DR NW
ROCHESTER, MN 55901
Dentist (General Practice)
2112 VIKING DR NW
ROCHESTER, MN 55901
Dentist
2112 VIKING DR NW, SUITE G
ROCHESTER, MN 55901
Dentist (Periodontics)
2112 VIKING DR NW
ROCHESTER, MN 55901
Dentist (General Practice)
2112 VIKING DR NW, DR. TERRY KLAMPE, INC
ROCHESTER, MN 55901
Health Maintenance Organization
2112 VIKING DR NW, SUITE E
ROCHESTER, MN 55901
Dentist (General Practice)
2112 VIKING DR NW
ROCHESTER, MN 55901

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 Periodontal Specialists, PA's NPI number?

The NPI number for Periodontal Specialists, PA is 1740359546. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Periodontal Specialists, PA located?

Periodontal Specialists, PA is located at 2112 Viking Dr NW, Rochester, MN 55901. The listed phone number is (507) 288-1338.

What is Periodontal Specialists, PA'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 Periodontal Specialists, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.