LAKE AREA DENTAL
NPI 1265248173
Clinic/Center - Dental in White Bear Lake, MN

Q: What is Lake Area Dental's NPI number?

The NPI number for Lake Area Dental is 1265248173. It was assigned to this organization in the NPPES registry on December 5, 2024.

Q: What is Lake Area Dental's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lake Area Dental was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since December 05, 2024

4801 HIGHWAY 61 N STE 301, WHITE BEAR LAKE, MN 55110(651) 762-8474 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Area Dental NPPES

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

LAKE AREA DENTAL (NPI 1265248173) is a healthcare organization registered as a dental in White Bear Lake, Minnesota and active in the NPI registry since December 2024. The organization lists Jordan Dittberner, Dentist, as its authorized official.

NPPES Registry Identity

NPI1265248173

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameLAKE AREA DENTAL

Location Address4801 HIGHWAY 61 N STE 301White Bear Lake, MN 55110-2753

Mailing Address140 Wildwood CtMahtomedi, MN 55115-4200 · (651) 308-1177

Phone(651) 762-8474

Organization SubpartNo

Authorized OfficialJordan DittbernerDentist · (651) 308-1177

Enumeration DateDecember 5, 2024

NPPES CertifiedDecember 5, 2024

✔ NPI 1265248173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

4801 HIGHWAY 61 N STE 301, White Bear Lake, MN 55110

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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 Lake Area Dental's NPI number?

The NPI number for Lake Area Dental is 1265248173. It was assigned to this organization in the NPPES registry on December 5, 2024.

Where is Lake Area Dental located?

Lake Area Dental is located at 4801 Highway 61 N Ste 301, White Bear Lake, MN 55110. The listed phone number is (651) 762-8474.

What is Lake Area 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 Lake Area Dental was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.