METROPOLITAN PERIODONTISTS P.A. NPI 1982775235

NPI Information

METROPOLITAN PERIODONTISTS, P.A. is a periodontics dentist in Minneapolis, MN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. METROPOLITAN PERIODONTISTS, P.A. NPI is 1982775235. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

825 NICOLLET MALL
SUITE 210
MINNEAPOLIS, MN
ZIP 55402-606
Phone: (612) 332-0869
Fax: (612) 332-2891

The provider's authorized official is Mark M Wilson .
The authorized official title is Owner and has the following contact phone number (612) 332-0869.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 8/22/2020.

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:

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