Orthodontic Specialists of Minnesota, PLLC
NPI 1013517093ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Woodbury, MN
Dentist, Orthodontics and Dentofacial Orthopedics in Woodbury, Minnesota, registered in NPPES in October 2020. The authorized official on file is Shannon Hesse, Credentialing Specialist.
Overview
| NPI | 1013517093 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 28, 2020 |
| Last updated in NPPES | Oct 28, 2020 |
| Certified by provider | Oct 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 Dentist, Orthodontics and Dentofacial Orthopedics providers in Woodbury
- 1407309784
- 1578505152
- 1023681152
- 1669972063
- 1114080777
- 1174686737
- 1023169265
- 1902979206
- 1528128436
- 1972097467
- 1760684559
All Dentist, Orthodontics and Dentofacial Orthopedics providers in Minnesota →