Mondale Dental LLC
NPI 1053834481ActiveOrganization· Dentist, General Practice· Plymouth, MN
Dentist, General Practice in Plymouth, Minnesota, registered in NPPES in July 2017. The authorized official on file is Brian Patrick Mondale, D.D.S., Owner Sole Member.
Overview
| NPI | 1053834481 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2017 |
| Last updated in NPPES | Jul 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Clinic/Center, Dental | 261QD0000X | — | — |
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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