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

BLOOMINGTON LAKE DENTAL CLINIC PA

Active Organization

BLOOMINGTON LAKE DENTAL CLINIC PA is a General Dentistry organization located in MINNEAPOLIS, Minnesota. NPI 1861587842 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MINNEAPOLIS, MN

Registration Details

NPI Number
1861587842
Provider Type
Organization
NPI Issued
Oct 4, 2006 (19.895041317928 yrs)
Last Updated
Aug 22, 2020
License
D11528 (MN)

Practice Information

Address
3042 BLOOMINGTON AVE
MINNEAPOLIS, MN, 554071716
Browse MN providers · Browse ZIP 55407
Phone
6127292393
Fax
6127292395
Primary Specialty
General Dentistry
1223G0001X
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.