Dental Specialists of Minnesota, PLLC
NPI 1902235245ActiveOrganization· Dentist, Pediatric Dentistry· Woodbury, MN
Dentist, Pediatric Dentistry in Woodbury, Minnesota, registered in NPPES in November 2013. The authorized official on file is Shannon Hesse, Credentialing Specialist.
Overview
| NPI | 1902235245 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2013 |
| Last updated in NPPES | Oct 28, 2020 |
| Certified by provider | Oct 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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