Maple Grove Periodontics and Implant Dentistry – Periodontics, NPI 1093442048

Maple Grove Periodontics and Implant Dentistry is a healthcare provider. based in Plymouth, Minnesota. specializing in Periodontics. The NPI Number for Maple Grove Periodontics and Implant Dentistry is 1093442048

Main info

Organization
Name
Maple Grove Periodontics and Implant Dentistry
NPI
1093442048
Phone
(517) 648-3576
Address
18145 59TH AVE N
Authorized Official
DR. YUN WANG PRESIDENT DDS, MS, PH.D
Enumeration Date
1 August 2022
Last Update Date
7 September 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Maple Grove Periodontics and Implant Dentistry

  • 18145 59TH AVE N

    PLYMOUTH, MN 554463936

    Phone: (517) 648-3576

    Type: Mailing

  • 12000 ELM CREEK BLVD N STE 320

    MAPLE GROVE, MN 553697076

    Phone: (763) 420-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55446)

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Reviews

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Frequently asked questions

What is Maple Grove Periodontics and Implant Dentistry's NPI number?
Maple Grove Periodontics and Implant Dentistry's NPI is 1093442048 — the number used across U.S. healthcare to identify this provider.
Would Maple Grove Periodontics and Implant Dentistry appear as active to a payer?
You can treat Maple Grove Periodontics and Implant Dentistry as active for directory purposes; confirm clinical privileges separately.
How would a patient describe Maple Grove Periodontics and Implant Dentistry's focus?
For Maple Grove Periodontics and Implant Dentistry, the primary taxonomy reads as Periodontics. Clinical services aligned with this taxonomy classification.
Is Maple Grove Periodontics and Implant Dentistry located near Plymouth?
Maple Grove Periodontics and Implant Dentistry currently maps to Plymouth, Minnesota in this extract.
Can I trust this NPI listing for Maple Grove Periodontics and Implant Dentistry?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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