Northland Dental Partners, PLLC
NPI 1700534138ActiveOrganization· Dentist, General Practice· Eden Prairie, MN
Dentist, General Practice in Eden Prairie, Minnesota, registered in NPPES in March 2022, part of Northland Dental Partners, PLLC. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1700534138 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Northland Dental Partners, PLLC |
| NPI issued | Mar 15, 2022 |
| Last updated in NPPES | May 2, 2022 |
| Certified by provider | May 2, 2022 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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