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Dental Specialist of Minnesota, Pllc

Oral and Maxillofacial Surgery (Dentist) in Wayzata, MN · enumerated 2020 · authorized official Shannon Hesse, Credentialing Specialist.

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

National Provider Identifier

1568071199

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Registry record

Entity type Organization (Type 2)
Legal business name Dental Specialist of Minnesota, Pllc
Practice address 18258 Minnetonka Blvd Ste 100, Wayzata, MN, 55391
Enumeration date Jul 29, 2020
Last updated in NPPES Jul 29, 2020

Taxonomy & classification

1223E0200X Endodontics Dental Providers Secondary
1223P0221X Pediatric Dentistry Dental Providers Secondary
1223P0300X Periodontics Dental Providers Secondary
1223P0700X Prosthodontics Dental Providers Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Shannon Hesse
Title Credentialing Specialist

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 Dental Specialist of Minnesota, Pllc?
Dental Specialist of Minnesota, Pllc is registered in NPPES as a Oral and Maxillofacial Surgery (Dentist) (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 2020-07-29.