Minnesota State Colleges and Universities
NPI 1801065958ActiveOrganization· Dentist, General Practice· Brainerd, MN
Dentist, General Practice in Brainerd, Minnesota, registered in NPPES in February 2008, part of Minnesota State Colleges and Universities. The authorized official on file is Larry Lundblad, President.
Overview
| NPI | 1801065958 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Minnesota State Colleges and Universities |
| NPI issued | Feb 22, 2008 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | 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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