DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LONG LAKE FAMILY DENISTRY

Active Organization

LONG LAKE FAMILY DENISTRY is a General Dentistry organization located in NEW BRIGHTON, Minnesota. NPI 1134574163 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · NEW BRIGHTON, MN

Registration Details

NPI Number
1134574163
Provider Type
Organization
NPI Issued
Apr 27, 2016 (10.312954003882 yrs)
Last Updated
Apr 27, 2016
Licenses
D13480 (MN)
10465 (MN)
10256 (MN)

Practice Information

Address
991 9TH AVE NW
NEW BRIGHTON, MN, 551122665
Browse MN providers · Browse ZIP 55112
Phone
6516331311
Fax
6516334339
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
General Dentistry

Other General Dentistry Organizations in NEW BRIGHTON, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.