HAM LAKE DENTAL PLLC
NPI 1104400845
Clinic/Center - Dental in Andover, MN

Active since May 10, 2021
16220 ABERDEEN ST NE STE A1, ANDOVER, MN 55304(763) 415-7831 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ham Lake Dental Pllc NPPES

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

HAM LAKE DENTAL PLLC (NPI 1104400845) is a healthcare organization registered as a dental in Andover, Minnesota and active in the NPI registry since May 2021. The organization lists Alex Shnaydruk, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104400845
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameHAM LAKE DENTAL PLLC
Location Address16220 ABERDEEN ST NE STE A1Andover, MN 55304-5421
Mailing Address16220 Aberdeen St Ne Ste A1Andover, MN 55304-5421 · (763) 415-7831
Organization SubpartNo
Authorized OfficialAlex ShnaydrukDentist · (952) 261-4307
Enumeration DateMay 10, 2021
NPPES CertifiedMay 10, 2021
NPI 1104400845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
16220 ABERDEEN ST NE STE A1, Andover, MN 55304

Other Names 1

Doing Business AsHam Lake Dental Pllc

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
16220 ABERDEEN ST NE STE A1
HAM LAKE, MN 55304

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 Ham Lake Dental PLLC's NPI number?

The NPI number for Ham Lake Dental PLLC is 1104400845. It was assigned to this organization in the NPPES registry on May 10, 2021.

Where is Ham Lake Dental PLLC located?

Ham Lake Dental PLLC is located at 16220 Aberdeen St NE Ste A1, Andover, MN 55304. The listed phone number is (763) 415-7831.

What is Ham Lake Dental PLLC'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 Ham Lake Dental PLLC was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.