Maple Grove Family Dental Clinic, PA
NPI 1922181197ActiveOrganization· Dentist, General Practice· Maple Grove, MN
Dentist, General Practice in Maple Grove, Minnesota, registered in NPPES in October 2006. The authorized official on file is Susan M. Larson, Clinic Administrator.
Overview
| NPI | 1922181197 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D11341 | MN |
| Dentist, General Practice | 1223G0001X | 9790 | MN |
| Dentist, General Practice | 1223G0001X | 10067 | 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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