Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA ANN EDSTROM, DDS
ActiveDR. LISA ANN EDSTROM, DDS is a Dentist healthcare provider located in EAGAN, Minnesota. NPI 1922235027 is currently active in the NPPES registry. Verify at CMS.
Dentist · EAGAN, MN
Registration Details
- NPI Number
- 1922235027
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2009 (17.164346186067 yrs)
- Last Updated
- Sep 30, 2020
- License
-
D12681 (MN)
Practice Information
- Address
-
3436 DENMARK AVEEAGAN, MN, 551231088Browse MN providers · Browse ZIP 55123
- Phone
- 6514524455
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in EAGAN, MN
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS ELLIS HOOVER | D.D.S. | 1952376568 |
| DR. ELIZABETH RYDELL | DDS | 1942266432 |
| DR. GLENN A PERKINS | DDS | 1942391735 |
| DR. M.BASHAR AHMEDO | DDS | 1417043316 |
| DR. ANGELA K HILO | DDS | 1770656415 |
| DOUGLAS MARTIN BAUER | DDS | 1013081355 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.