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DENTAL SPECIALIST OF MINNESOTA, PLLC
NPI 1992307839
Dentist - Pediatric Dentistry in Roseville, MN

Active since November 16, 2020
1835 COUNTY ROAD C W STE 290, ROSEVILLE, MN 55113(651) 501-0018 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 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 1992307839), doing business as The Dental Specialists Roseville Peds, is a healthcare organization registered as a pediatric dentistry in Roseville, Minnesota and active in the NPI registry since November 2020. The organization lists Shannon Hesse, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1992307839
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDENTAL SPECIALIST OF MINNESOTA, PLLC
Location Address1835 COUNTY ROAD C W STE 290Roseville, MN 55113-1343
Mailing Address2200 County Road C W Ste 2210Roseville, MN 55113-2551 · (651) 746-2815
Phone(651) 501-0018
Organization SubpartNo
Authorized OfficialShannon HesseCredentialing Specialist · (651) 746-2815
Enumeration DateNovember 16, 2020
NPPES CertifiedNovember 12, 2020
✔ NPI 1992307839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1835 COUNTY ROAD C W STE 290, Roseville, MN 55113
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Other Names 1

Doing Business AsThe Dental Specialists Roseville Peds

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. THERESA L. JUHLIN D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1835 COUNTY ROAD C W STE 290
ROSEVILLE, MN 55113
Ramsey County (651) 925-4177

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 1992307839. It was assigned to this organization in the NPPES registry on November 16, 2020.

Where is Dental Specialist Of Minnesota, PLLC located?

Dental Specialist Of Minnesota, PLLC is located at 1835 County Road C W Ste 290, Roseville, MN 55113. The listed phone number is (651) 501-0018.

What is Dental Specialist Of Minnesota, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Dental Specialist Of Minnesota, PLLC was last updated on November 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.