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Minneapolis-St. Paul Periodontics

Periodontics in Fridley, MN · enumerated 2011 · authorized official Doug Wolff, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013216811

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Registry record

Entity type Organization (Type 2)
Legal business name Minneapolis-St. Paul Periodontics
Parent organization St. Croix Valley Dental
Practice address 1109 East Moore Lake Drive, Fridley, MN, 55432
Phone (651) 439-2600
Fax (651) 439-2211
Enumeration date Mar 18, 2011
Last updated in NPPES Mar 18, 2011

Taxonomy & classification

1223P0300X Periodontics Dental Providers · License D11710 (MN) Primary

Authorized official

Name Doug Wolff
Title Owner
Phone (651) 439-2600

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Minneapolis-St. Paul Periodontics?
Minneapolis-St. Paul Periodontics is registered in NPPES as a Periodontics (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-18.