Minnesota Dental Professionals, P.C.
NPI 1174294995ActiveOrganization· Dentist, General Practice· Apple Valley, MN
Dentist, General Practice in Apple Valley, Minnesota, registered in NPPES in September 2021, part of Heartland Dental. The authorized official on file is Tabatha Lemke, Credentialing Coordinator.
Overview
| NPI | 1174294995 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Heartland Dental |
| NPI issued | Sep 22, 2021 |
| Last updated in NPPES | Sep 22, 2021 |
| Certified by provider | Sep 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
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