Minnesota Dental Professionals, P.C.
NPI 1376403113ActiveOrganization· Dentist, General Practice· Maple Grove, MN
Dentist, General Practice in Maple Grove, Minnesota, registered in NPPES in November 2025, part of Minnesota Dental Professionals, P.C. The authorized official on file is Hillary Thull, Credentialing Coordinator.
Overview
| NPI | 1376403113 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Minnesota Dental Professionals, P.C. |
| NPI issued | Nov 14, 2025 |
| Last updated in NPPES | Nov 14, 2025 |
| Certified by provider | Oct 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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