1. Home
  2. Directory
  3. Minnesota
  4. Lakeville
  5. Dentist
  6. NPI Profile

LAKEVILLE DENTAL ASSOCIATES, PA
NPI 1053614867
Dentist - General Practice in Lakeville, MN

Active since December 16, 2010
20171 ICENIC TRL, LAKEVILLE, MN 55044(952) 469-3300 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakeville Dental Associates, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEVILLE DENTAL ASSOCIATES, PA (NPI 1053614867) is a healthcare organization registered as a general practice in Lakeville, Minnesota and active in the NPI registry since December 2010. The organization lists Rose A Harrison, Manager, as its authorized official.

NPPES Registry Identity

NPI1053614867
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKEVILLE DENTAL ASSOCIATES, PA
Location Address20171 ICENIC TRLLakeville, MN 55044-7708
Mailing Address20171 Icenic TrlLakeville, MN 55044-7708 · (952) 469-3300
Phone(952) 469-3300
Organization SubpartNo
Authorized OfficialRose A HarrisonManager · (952) 469-3300
Enumeration DateDecember 16, 2010
Last NPPES UpdateOctober 17, 2011
✔ NPI 1053614867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D12108
Definition

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.

20171 ICENIC TRL, Lakeville, MN 55044
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER ELIZABETH HARRISON D.D.S.
Dentist (General Practice)
20171 ICENIC TRL
LAKEVILLE, MN 55044
Dakota County (952) 469-3300
DR. JOHN L HARRISON DDS
Dentist (General Practice)
20171 ICENIC TRL
LAKEVILLE, MN 55044
Dakota County (952) 469-3300
LAKEVILLE DENTAL ASSOCIATES, P.A.
Clinic/Center (Dental)
20171 ICENIC TRL
LAKEVILLE, MN 55044
Dakota County (952) 469-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeville Dental Associates, PA's NPI number?

The NPI number for Lakeville Dental Associates, PA is 1053614867. It was assigned to this organization in the NPPES registry on December 16, 2010.

Where is Lakeville Dental Associates, PA located?

Lakeville Dental Associates, PA is located at 20171 Icenic Trl, Lakeville, MN 55044. The listed phone number is (952) 469-3300.

What is Lakeville Dental Associates, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lakeville Dental Associates, PA was last updated on October 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.