MSP DENTISTRY INC. NPI 1558719922

NPI Information

  • NPI: 1558719922
  • Provider Name: MSP DENTISTRY, INC.
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Former Legal Business Name: TWIN CITIES DENTAL
  • Address: 12027 BUSINESS PARK BLVD N
    CHAMPLIN, MN
    ZIP 55316
  • Phone: (763) 421-7900

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NPI Details

MSP DENTISTRY, INC. is a preferred provider organization in Champlin, 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 1558719922. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Twin Cities Dental.

The provider's business location address is:

12027 BUSINESS PARK BLVD N
CHAMPLIN, MN
ZIP 55316-526
Phone: (763) 421-7900
Fax: (763) 421-7916

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

The enumeration date for this NPI number is 5/26/2016 and was last updated on 5/26/2016.

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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