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

Minnesota Dental Professionals, PC

Organization General Practice Dentistry · NPI 1114781739

Minnesota Dental Professionals, PC is a General Practice Dentistry in Lino Lakes, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 Apollo Dr Ste 110
Lino Lakes, MN 55014-3020
Phone: (763) 542-3765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1114781739
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHeartland Dental
Authorized official Hillary Thull — Credentialing Coordinator · (217) 540-8946
Other names Blue Heron Dental Care; Blue Heron Dental Care
NPI enumeratedFebruary 13, 2024
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address601 Apollo Dr Ste 110, Lino Lakes, MN 55014-3020

Other providers in Lino Lakes