MSP DENTISTRY INC NPI 1124544895

NPI Information

  • NPI: 1124544895
  • Provider Name: MSP DENTISTRY INC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Doing Business As: TWIN CITIES DENTAL
  • Address: 13650 HANSON BLVD.
    SUITE #110
    ANDOVER, MN
    ZIP 55304
  • Phone: (763) 421-7900

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NPI Details

MSP DENTISTRY INC is a preferred provider organization in Andover, MN. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. MSP DENTISTRY INC NPI is 1124544895. The provider is registered as an organization entity type.
The provider Is Doing Business As Twin Cities Dental.

The provider's business location address is:

13650 HANSON BLVD.
SUITE #110
ANDOVER, MN
ZIP 55304
Phone: (763) 421-7900
Fax: (763) 421-7916

The provider's authorized official is Majid Fehresti .
The authorized official title is Owner/dds and has the following contact phone number (763) 421-7900.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 8/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider OrganizationD12034MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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