Miracle Mile Dentistry PA
NPI 1417340563ActiveOrganization· Dentist· St Louis Park, MN
Dentist in St Louis Park, Minnesota, registered in NPPES in March 2015. The authorized official on file is Ryan Michael Dunlavey, DDS, President.
Overview
| NPI | 1417340563 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2015 |
| Last updated in NPPES | Mar 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | MN |
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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