Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Excel Dentistry PLLC

Organization Dentist · NPI 1720413263

Excel Dentistry PLLC provides Dentist services in Wayzata, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1421 Wayzata Blvd Ste 320
Wayzata, MN 55391-1939 Not confirmed with CMS for 13 years — call before visiting
Phone: (952) 475-2907
Fax: (952) 475-2343
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D12180 (MN)

Record details

NPI number1720413263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aleksandr Shibko — Partner · (952) 746-3233
NPI enumeratedSeptember 3, 2013
Last updated in NPPESSeptember 3, 2013
Mailing address1421 Wayzata Blvd, Suite 320, Wayzata, MN 55391-1939

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