Organization · Type 2 NPI

Blaine Lakes Dental, P.l.l.c.

General Practice Dentistry · Blaine, MN

NPI number 1821907783 Active

Practice location

10705 Town Square Dr NE Ste 200
Blaine, MN 55449-8187

Call (763) 757-1535 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

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 1821907783

Blaine Lakes Dental, P.l.l.c.'s National Provider Identifier is 1821907783, issued on Sep 4, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Blaine, MN. The record was last updated on Sep 4, 2026.