Family Periodontic Specialists, PLC
NPI 1326797713ActiveOrganization· Dentist, Periodontics· Burnsville, MN
Dentist, Periodontics in Burnsville, Minnesota, registered in NPPES in March 2022, part of Family Periodontic Specialists, PLC. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1326797713 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Family Periodontic Specialists, PLC |
| NPI issued | Mar 22, 2022 |
| Last updated in NPPES | Mar 22, 2022 |
| Certified by provider | Mar 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
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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