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MINNESOTA LAKES DENTAL PLLC NPI 1538765029


NPI Information

NPI: 1538765029
Provider Name: MINNESOTA LAKES DENTAL, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4270 MAINE AVE SE STE 200
ROCHESTER, MN
ZIP 55904
Phone: (507) 282-4401
Get Directions

MINNESOTA LAKES DENTAL, PLLC is a general practice dentist in Rochester, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MINNESOTA LAKES DENTAL, PLLC NPI is 1538765029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4270 MAINE AVE SE STE 200
ROCHESTER, MN
ZIP 55904-936
Phone: (507) 282-4401
Fax: (507) 282-4407

The provider's authorized official is Marshall Morris .
The authorized official title is Owner/dentist and has the following contact phone number (507) 282-4401.

The enumeration date for this NPI number is 12/9/2020 and was last updated on 12/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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