ROUND LAKE DENTAL P.A. NPI 1376676445

NPI Information

  • NPI: 1376676445
  • Provider Name: ROUND LAKE DENTAL P.A.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 13841 ROUND LAKE BLVD NW
    ANDOVER, MN
    ZIP 55304
  • Phone: (763) 427-0285

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NPI Details

ROUND LAKE DENTAL P.A. is a pediatric dentistry dentist in Andover, MN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ROUND LAKE DENTAL P.A. NPI is 1376676445. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13841 ROUND LAKE BLVD NW
ANDOVER, MN
ZIP 55304-664
Phone: (763) 427-0285
Fax: (763) 576-0156

The provider's authorized official is Thomas Richard Swenson .
The authorized official title is President and has the following contact phone number (763) 427-0285.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryD10339MINNESOTAYes

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: 11/21/2025

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