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FOUNTAIN LAKE FAMILY DENTAL
NPI 1104435585
Clinic/Center - Dental in Albert Lea, MN

Active since July 30, 2020
146 W CLARK ST, ALBERT LEA, MN 56007(507) 373-3323(507) 373-4513 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fountain Lake Family Dental NPPES

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

FOUNTAIN LAKE FAMILY DENTAL (NPI 1104435585) is a healthcare organization registered as a dental in Albert Lea, Minnesota and active in the NPI registry since July 2020. The organization lists Karisa Lehmann, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104435585
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFOUNTAIN LAKE FAMILY DENTAL
Location Address146 W CLARK STAlbert Lea, MN 56007-2546
Mailing Address146 W Clark StAlbert Lea, MN 56007-2546 · (507) 373-3323
Phone(507) 373-3323
Fax(507) 373-4513
Organization SubpartNo
Authorized OfficialKarisa LehmannOffice Manager · (507) 373-3323
Enumeration DateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1104435585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
146 W CLARK ST, Albert Lea, MN 56007
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Other Names 1

Doing Business AsFountain Lake Family Dental

Other Identifiers 1

OtherD13630MN · Minnesota

Other Providers at the Same Location NPPES 2

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

SOUTHERN MINNESOTA SLEEP CENTER, PLLC
Dentist (General Practice)
146 W CLARK ST
ALBERT LEA, MN 56007
Freeborn County (612) 501-1577
CRAIG A HOFFMAN D.D.S.
Dentist
146 W CLARK ST
ALBERT LEA, MN 56007
Freeborn County (505) 373-3323

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 Fountain Lake Family Dental's NPI number?

The NPI number for Fountain Lake Family Dental is 1104435585. It was assigned to this organization in the NPPES registry on July 30, 2020.

Where is Fountain Lake Family Dental located?

Fountain Lake Family Dental is located at 146 W Clark St, Albert Lea, MN 56007. The listed phone number is (507) 373-3323.

What is Fountain Lake Family Dental'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 Fountain Lake Family Dental was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.