Dental Specialist of Minnesota, PLLC
NPI 1285236471ActiveOrganization· Dentist, Pediatric Dentistry· Edina, MN
Dentist, Pediatric Dentistry in Edina, Minnesota, registered in NPPES in November 2020. The authorized official on file is Shannon Hesse, Credentialing Specialist.
Overview
| NPI | 1285236471 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 12, 2020 |
| Last updated in NPPES | Nov 12, 2020 |
| Certified by provider | Nov 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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