LAKE DENTAL CARE
NPI 1013328608
Clinic/Center - Dental in Big Lake, MN
Active since May 16, 2014
About Lake Dental Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE DENTAL CARE (NPI 1013328608) is a healthcare organization registered as a dental in Big Lake, Minnesota and active in the NPI registry since May 2014. The organization lists Kyle John Skjei, Dentist, as its authorized official.
NPPES Registry Identity
NPI1013328608
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKS HOLDINGS PA
Location Address751 ROSE DR NW, SUITE 108Big Lake, MN 55309-8705
Mailing Address751 Rose Dr Nw, Suite 108Big Lake, MN 55309-8705 · (763) 262-0259
Phone(763) 262-0259
Organization SubpartNo
Authorized OfficialKyle John SkjeiDentist · (763) 262-0259
Enumeration DateMay 16, 2014
✔ NPI 1013328608 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MN · 12781
751 ROSE DR NW, Big Lake, MN 55309
Other Names 1
Doing Business AsLake Dental Care
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013328608, enumerated as an "organization" on May 16, 2014.
The provider is located at 751 ROSE DR NW SUITE 108 BIG LAKE, MN 55309 and the phone number is (763) 262-0259.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
