Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dental Specialist of Minnesota, PLLC

Organization Endodontics · NPI 1568071199

Dental Specialist of Minnesota, PLLC is an Endodontics in Wayzata, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18258 Minnetonka Blvd Ste 100
Wayzata, MN 55391-3324
Phone: (952) 926-2761
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X
Endodontics Taxonomy 1223E0200X
Pediatric Dentistry Taxonomy 1223P0221X
Periodontics Taxonomy 1223P0300X
Prosthodontics Taxonomy 1223P0700X

Record details

NPI number1568071199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Hesse — Credentialing Specialist · (651) 746-2815
Other names The Dental Specialist Deephaven
NPI enumeratedJuly 29, 2020
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020
Mailing address2200 County Road C W Ste 2210, Roseville, MN 55113-2551

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