Minneapolis-st. Paul Periodontics
Periodontology Clinic
1109 East Moore Lake Drive, Fridley
Minnesota, 55432
651-439-2600 651-439-2211
Maps & DirectionsMinneapolis-st. Paul Periodontics is a Periodontology Clinic in Fridley, Minnesota. This organization is also known as sub part of St. Croix Valley Dental. It is located at 1109 East Moore Lake Drive, Fridley, MN and its contact number is 651-439-2600. The authorized person for Minneapolis-st. Paul Periodontics is Dr. Doug S Wolff
who is Owner of the clinic and their contact number is 651-439-2600. Other organizations associated with this clinic are Minneapolis-st. Paul Periodontics, Northern Orthodontics, The primary license number for Minneapolis-st. Paul Periodontics is D11710 (Periodontics) in Minnesota.
Minneapolis-st. Paul Periodontics Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Minneapolis-st. Paul Periodontics Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Minneapolis-st. Paul Periodontics |
| Specialization: | Periodontology |
| Clinic Address: | 1109 East Moore Lake Drive, Fridley,
Minnesota, 55432 |
| Phone: | 651-439-2600 |
| Fax: | 651-439-2211 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Doug S Wolff |
| Position: | Owner |
| Contact Number: | 651-439-2600 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Minneapolis-st. Paul Periodontics clinic are as mentioned below.
| NPI Number: | 1013216811 |
| Parent Organization: | St. Croix Valley Dental |
| NPI Enumeration Date: | 18 Mar, 2011 |
| NPI Last Update On: | 18 Mar, 2011 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Minneapolis-st. Paul Periodontics | Periodontology | 1013216811 |
| Northern Orthodontics | Dentistry | 1659670362 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Minneapolis-st. Paul Periodontics are as mentioned below.
| Specialization | License Number | State | Status | |
| Periodontics | D11710 | Minnesota | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Minneapolis-st. Paul Periodontics
1109 East Moore Lake Drive,
Fridley, Minnesota |
| Zip: | 55432 |
| Phone Number: | 651-439-2600 |
| Fax Number: | 651-439-2211 |
Patients can reach Minneapolis-st. Paul Periodontics at
1109 East Moore Lake Drive, Fridley, Minnesota or can
call to book an appointment on 651-439-2600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.