Minnesota Dental Professionals, P.C.

Minnesota Dental Professionals, P.C. is a healthcare organization registered as General Practice Dentistry in Eagan, MN, holding Type 2 (organization) NPI 1114522992 since 2020. The authorized official on file is Tabatha Lemke, Credentialing Coordinator.

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NPI	1114522992
Entity type	Organization (Type 2)
Legal business name	Minnesota Dental Professionals, P.C.
Parent organization	Heartland Dental
Practice address	4555 ERIN DR STE 180, Eagan, MN, 55122
Phone	6516819044
Enumeration date	2020-12-01
Last updated in NPPES	2020-12-01

Authorized official

Name	Tabatha Lemke
Title	Credentialing Coordinator
Phone	2175406078

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	—	—

Copy-ready billing details

Provider: Minnesota Dental Professionals, P.C.
NPI: 1114522992
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 4555 ERIN DR STE 180, Eagan, MN, 55122

Providers at this address

NPI	Name	Type	Specialty	Location
1942391735	Glenn Perkins	Individual	Dentist	Eagan, MN
1154017432	Jacob Des Jardins	Individual	General Practice Dentistry	Eagan, MN

Verify this record

Cross-check NPI 1114522992 against the authoritative CMS record: view Minnesota Dental Professionals, P.C. on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Minnesota Dental Professionals, P.C. located?

The practice location on file with NPPES is in Eagan, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-12-01. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-12-01.