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

Dr. Connor Peck, DDS

Individual provider Dentist · NPI 1821581760

Dr. Connor Peck, DDS is an Oral Surgery in Minneapolis, Minnesota. Qualified in 2018, 8 years ago. Practices with Lmg, Inc, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

515 Delaware St SE
Minneapolis, MN 55455-0357
Phone: (612) 626-0140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 515 Delaware St Se, Minneapolis, MN 55455-0357 — (612) 626-0140

Specialties & licences

Orofacial Pain Dentistry (primary) Taxonomy 1223X2210X · Licence R713 (MN)
Dentist Taxonomy 122300000X · Licence R713 (MN)

Record details

NPI number1821581760
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 13, 2018
Last updated in NPPESOctober 6, 2019
Mailing address2410 University Ave W Ste 110, Saint Paul, MN 55114-1978

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesSLEEP MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lmg, Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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