LONG LAKE FAMILY DENISTRY
NPI 1134574163
Dentist - General Practice in New Brighton, MN

Q: What is Long Lake Family Denistry's NPI number?

The NPI number for Long Lake Family Denistry is 1134574163. It was assigned to this organization in the NPPES registry on April 27, 2016.

Q: What is Long Lake Family Denistry's specialty?

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

Active since April 27, 2016

991 9TH AVE NW, NEW BRIGHTON, MN 55112(651) 633-1311(651) 633-4339 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Long Lake Family Denistry NPPES

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

LONG LAKE FAMILY DENISTRY (NPI 1134574163) is a healthcare organization registered as a general practice in New Brighton, Minnesota and active in the NPI registry since April 2016. The organization lists Hossein A Jalali, Owner, as its authorized official.

NPPES Registry Identity

NPI1134574163

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLONG LAKE FAMILY DENISTRY

Location Address991 9TH AVE NWNew Brighton, MN 55112-2665

Mailing Address991 9th Ave NwNew Brighton, MN 55112-2665 · (651) 633-1311 · Fax (651) 633-4339

Phone(651) 633-1311

Fax(651) 633-4339

Organization SubpartNo

Authorized OfficialHossein A JalaliOwner · (651) 633-1311

Enumeration DateApril 27, 2016

✔ NPI 1134574163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in MN · 10256✔ Licensed in MN · D13480

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.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 10465 (MN)

991 9TH AVE NW, New Brighton, MN 55112

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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

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

DR. HOSSEIN A JALALI D.D.S

Dentist

991 9TH AVE NW
NEW BRIGHTON, MN 55112

Ramsey County (651) 633-1311

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 Long Lake Family Denistry's NPI number?

The NPI number for Long Lake Family Denistry is 1134574163. It was assigned to this organization in the NPPES registry on April 27, 2016.

Where is Long Lake Family Denistry located?

Long Lake Family Denistry is located at 991 9th Ave NW, New Brighton, MN 55112. The listed phone number is (651) 633-1311.

What is Long Lake Family Denistry'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 Long Lake Family Denistry was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.