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

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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: July 19, 2026.

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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

Phone(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

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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