Organization · Type 2 NPI

Group Health, Inc.

Dentist · Lake Elmo, MN

NPI number 1093261190 Active

Practice location

8515 Eagle Point Blvd
Lake Elmo, MN 55042-8624

Mailing address

8170 33rd Ave S, Mailstop 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X10265 (MN)
Endodontics 1223E0200X11843 (MN)
General Practice Dentistry 1223G0001X11843 (MN)
Pediatric Dentistry 1223P0221X11316 (MN)
Periodontics 1223P0300X10028 (MN)
Prosthodontics 1223P0700X10265 (MN)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X11315 (MN)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X9812 (MN)
Oral Medicine Dentistry 125Q00000X12047 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1093261190

Group Health, Inc.'s National Provider Identifier is 1093261190, issued on Aug 29, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lake Elmo, MN. The record was last updated on Aug 14, 2026.