Organization

Metropolitan Periodontists, P.A.

Periodontist in Minneapolis, MN(View on Map)

Legal Business Name

Metropolitan Periodontists, P.A.

NPI Number

1982775235

NPI Type

Organization

Enumeration Date

11/10/2006

Specialties

(Taxonomies)

Code

1223P0300X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

8580

Contact
Information

Purpose

Mailing
Location

Address

825 NICOLLET MALL
825 NICOLLET MALL

City

Minneapolis
Minneapolis

State

MN
MN

Postal Code

55402-2606
55402-2606

Country

US
US

Telephone Number

(612) 332-0869
(612) 332-0869

Authorized Official

Name

Dr. Mark Wilson

Title or Position

OWNER

Telephone Number

(612) 332-0869

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address

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Organization

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Organization

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Specialties: General Practice Dentistry (Primary)Periodontist

Organization

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