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PRIOR LAKE
NPI 1083131643
Clinic/Center - Dental in Prior Lake, MN

Active since August 24, 2017
14120 COMMERCE AVE, SUITE #300, PRIOR LAKE, MN 55372(952) 447-1080(952) 447-0376 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 24, 2017 (2 updates tracked since 2017).

About Prior Lake NPPES

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

PRIOR LAKE (NPI 1083131643) is a healthcare organization registered as a dental in Prior Lake, Minnesota and active in the NPI registry since August 2017. The organization lists Steven Matthew Sarles, Doctor, as its authorized official.

NPPES Registry Identity

NPI1083131643
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePRIOR LAKE
Location Address14120 COMMERCE AVE, SUITE #300Prior Lake, MN 55372-5537
Mailing Address14120 Commerce Ave Ne Ste 300Prior Lake, MN 55372-1503 · (952) 447-1080 · Fax (952) 447-0376
Phone(952) 447-1080
Fax(952) 447-0376
Organization SubpartNo
Authorized OfficialSteven Matthew SarlesDoctor · (952) 447-1080
Enumeration DateAugust 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1083131643 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 · D13230
14120 COMMERCE AVE, Prior Lake, MN 55372
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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 Prior Lake's NPI number?

The NPI number for Prior Lake is 1083131643. It was assigned to this organization in the NPPES registry on August 24, 2017.

Where is Prior Lake located?

Prior Lake is located at 14120 Commerce Ave Suite #300, Prior Lake, MN 55372. The listed phone number is (952) 447-1080.

What is Prior Lake's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Prior Lake was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.