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Patrick Joseph Ennen, DDS

NPI 1710944988ActiveIndividual· Dentist, Periodontics· Coon Rapids, MN

Dentist, Periodontics (DDS) in Coon Rapids, Minnesota, licensed in MN, with an NPI issued in April 2006. Enrolled in Medicare as order and referring only - oral surgery.

Overview

NPI1710944988
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedApr 29, 2006
Last updated in NPPESJul 13, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Periodontics Primary1223P0300X7668MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Oral Surgery (MN)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other periodontists in Coon Rapids

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