# DENTAL SPECIALISTS OF MINNESOTA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Dental Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396095048
- **Authorized official:** DR. ALAN LAW DDS, PHD (PRESIDENT)
- **Authorized official phone:** (651) 633-0500

## Contact information

- **Practice address:** 3360 NORTHDALE BLVD., COON RAPIDS, MN 55448-1825
- **Practice address phone:** (763) 201-6962
- **Practice address fax:** (952) 201-1183
- **Mailing address:** 2200 COUNTY ROAD C W, SUITE 2210, ROSEVILLE, MN 55113-2550
- **Mailing address phone:** (651) 633-0500
- **Mailing address fax:** (651) 636-6894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2012
- **Last updated:** 07/21/2022