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CHISAGO LAKES DENTAL SERVICES LLC
NPI 1306255070
Dentist - General Practice in Lindstrom, MN

Active since August 07, 2014
12745 N 1ST AVE, LINDSTROM, MN 55045(763) 360-1465 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chisago Lakes Dental Services Llc NPPES

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

CHISAGO LAKES DENTAL SERVICES LLC (NPI 1306255070) is a healthcare organization registered as a general practice in Lindstrom, Minnesota and active in the NPI registry since August 2014. The organization lists Michael Hursh, Owner, as its authorized official.

NPPES Registry Identity

NPI1306255070
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHISAGO LAKES DENTAL SERVICES LLC
Location Address12745 N 1ST AVELindstrom, MN 55045-9585
Mailing Address12745 N 1st Ave, P. O. Box 39Lindstrom, MN 55045-9585 · (763) 360-1465
Phone(763) 360-1465
Organization SubpartNo
Authorized OfficialMichael HurshOwner · (763) 360-1465
Enumeration DateAugust 7, 2014
✔ NPI 1306255070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 8021
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.
12745 N 1ST AVE, Lindstrom, MN 55045
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

KAI ANTHONY AHLMAN DDS
Dentist (General Practice)
12745 N 1ST AVE
LINDSTROM, MN 55045
Chisago County (651) 257-2720
SEAN PATRICK GOOLSBY DDS
Dentist (General Practice)
12745 N 1ST AVE
LINDSTROM, MN 55045
Chisago County (651) 257-2720
BOREALIS DENTAL STUDIO, P.A.
Dentist
12745 N 1ST AVE
LINDSTROM, MN 55045
Chisago County (651) 257-2720

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 Chisago Lakes Dental Services LLC's NPI number?

The NPI number for Chisago Lakes Dental Services LLC is 1306255070. It was assigned to this organization in the NPPES registry on August 7, 2014.

Where is Chisago Lakes Dental Services LLC located?

Chisago Lakes Dental Services LLC is located at 12745 N 1st Ave, Lindstrom, MN 55045. The listed phone number is (763) 360-1465.

What is Chisago Lakes Dental Services LLC'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 Chisago Lakes Dental Services LLC was last updated on August 7, 2014. 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.