Organization · Type 2 NPI

Long Lake Family Denistry

General Practice Dentistry · New Brighton, MN

NPI number 1134574163 Active

Practice location

991 9th Ave NW
New Brighton, MN 55112-2665

Fax (651) 633-4339

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X10256 (MN)
General Practice Dentistry 1223G0001XD13480 (MN)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X10465 (MN)

General Practice Dentistry: 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.

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About NPI 1134574163

Long Lake Family Denistry's National Provider Identifier is 1134574163, issued on Apr 27, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New Brighton, MN. The record was last updated on Apr 27, 2016.