LAKES DENTAL CARE PLC NPI 1609889302

NPI Information

  • NPI: 1609889302
  • Provider Name: LAKES DENTAL CARE PLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 14213 GOLF COURSE DR
    SUITE 100
    BAXTER, MN
    ZIP 56425
  • Phone: (218) 829-4511

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NPI Details

LAKES DENTAL CARE PLC is a general practice dentist in Baxter, 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. LAKES DENTAL CARE PLC NPI is 1609889302. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14213 GOLF COURSE DR
SUITE 100
BAXTER, MN
ZIP 56425
Phone: (218) 829-4511
Fax: (218) 829-5483

The provider's authorized official is Jeffrey Emerald Olson .
The authorized official title is Owner Partner and has the following contact phone number (218) 829-4511.

The enumeration date for this NPI number is 8/14/2006 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
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: 11/21/2025

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