Minneapolis-St. Paul Periodontics
NPI 1013216811ActiveOrganization· Dentist, Periodontics· Fridley, MN
Dentist, Periodontics in Fridley, Minnesota, registered in NPPES in March 2011, part of St. Croix Valley Dental. The authorized official on file is Doug S. Wolff, D.D.S., Owner.
Overview
| NPI | 1013216811 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St. Croix Valley Dental |
| NPI issued | Mar 18, 2011 |
| Last updated in NPPES | Mar 18, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | D11710 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other periodontists in Fridley
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