Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Minnesota Periodontal Associates, PA

Q: What is the NPI number for Minnesota Periodontal Associates, PA?

The NPI for Minnesota Periodontal Associates, PA is 1508300252, a Type 2 (organization) record in the CMS NPPES registry.

Periodontics in White Bear Lake, MN · enumerated 2016 · authorized official Connie Lee, Periodontist.

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

National Provider Identifier

1508300252

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Registry record

Entity type Organization (Type 2)

Legal business name Minnesota Periodontal Associates, PA

Other name <Unavail>

Practice address 4801 Hwy 61 N., Suite 300, White Bear Lake, MN, 55110

Phone (651) 429-2299

Enumeration date Dec 15, 2016

Last updated in NPPES Dec 22, 2016

Taxonomy & classification

1223P0300X Periodontics Dental Providers · License D13190 (MN) Primary

Authorized official

Name Connie Lee

Title Periodontist

Phone (651) 429-2299

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 → Validate an NPI →

Frequently asked questions

What is the NPI number for Minnesota Periodontal Associates, PA?

The NPI for Minnesota Periodontal Associates, PA is 1508300252, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Minnesota Periodontal Associates, PA?

NPPES lists Connie Lee (Periodontist) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-22.