Creekside Dental PLLC
NPI 1043955412ActiveOrganization· Dentist· St Louis Park, MN
Dentist in St Louis Park, Minnesota, registered in NPPES in May 2022. The authorized official on file is Gabriel De Los Rios, DDS, Owner/Dentist.
Overview
| NPI | 1043955412 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2022 |
| Last updated in NPPES | May 1, 2022 |
| Certified by provider | May 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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 |
|---|
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