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GRACE DENTAL
NPI 1275969263
Dentist in Lake Elmo, MN

Active since September 23, 2013
12425 55TH ST N, LAKE ELMO, MN 55042(651) 430-1020(651) 439-2201 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Dental NPPES

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

GRACE DENTAL (NPI 1275969263) is a healthcare organization registered as a dentist in Lake Elmo, Minnesota and active in the NPI registry since September 2013. The organization lists Laurie L Stodola, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1275969263
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMAHTOMEDI DENTAL P.C.
Location Address12425 55TH ST NLake Elmo, MN 55042-7403
Mailing Address12425 55th St NLake Elmo, MN 55042-7403 · (651) 430-1020 · Fax (651) 439-2201
Phone(651) 430-1020
Fax(651) 439-2201
Organization SubpartNo
Authorized OfficialLaurie L StodolaOwner/dentist · (651) 430-1020
Enumeration DateSeptember 23, 2013
✔ NPI 1275969263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · 11396
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12425 55TH ST N, Lake Elmo, MN 55042
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Other Names 1

Doing Business AsGrace Dental

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

VALLEY RIDGE DENTAL, LLC
Dentist (General Practice)
12425 55TH ST N
LAKE ELMO, MN 55042
Washington County (651) 439-0322
DR. LAURIE LEE STODOLA D.D.S.
Dentist (General Practice)
12425 55TH ST N
LAKE ELMO, MN 55042
Washington County (651) 430-1020

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 Mahtomedi Dental P.C.'s NPI number?

The NPI number for Mahtomedi Dental P.C. is 1275969263. It was assigned to this organization in the NPPES registry on September 23, 2013. The provider is doing business as Grace Dental.

Where is Mahtomedi Dental P.C. located?

Mahtomedi Dental P.C. is located at 12425 55th St N, Lake Elmo, MN 55042. The listed phone number is (651) 430-1020.

What is Mahtomedi Dental P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mahtomedi Dental P.C. accept?

Health plans from UnitedHealthcare list Mahtomedi Dental P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mahtomedi Dental P.C. was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.