Mdo Periodontics PA
NPI 1558516369ActiveOrganization· Dentist, Periodontics· Sartell, MN
Dentist, Periodontics in Sartell, Minnesota, registered in NPPES in November 2008. The authorized official on file is Michelle Grundhoefer, Office Manager.
Overview
| NPI | 1558516369 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2008 |
| Last updated in NPPES | Nov 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
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 |
|---|