LAKE JOSEPHINE FAMILY DENTAL LLC
NPI 1366187643
Clinic/Center - Dental in Roseville, MN

Active since May 02, 2022
2960 SNELLING AVE N, ROSEVILLE, MN 55113(651) 636-5033(651) 636-5053 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Josephine Family Dental Llc NPPES

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

LAKE JOSEPHINE FAMILY DENTAL LLC (NPI 1366187643) is a healthcare organization registered as a dental in Roseville, Minnesota and active in the NPI registry since May 2022. The organization lists Sunnie F Adsitt, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1366187643
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAKE JOSEPHINE FAMILY DENTAL LLC
Location Address2960 SNELLING AVE NRoseville, MN 55113-2458
Mailing Address2960 Snelling Ave NRoseville, MN 55113-2458 · (651) 636-5033 · Fax (651) 636-5053
Fax(651) 636-5053
Organization SubpartNo
Authorized OfficialSunnie F AdsittDentist/owner · (651) 341-0129
Enumeration DateMay 2, 2022
NPPES CertifiedApril 27, 2022
NPI 1366187643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2960 SNELLING AVE N, Roseville, MN 55113

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.

Dentist
2960 SNELLING AVE N
ROSEVILLE, MN 55113
Specialist
2960 SNELLING AVE N
ROSEVILLE, MN 55113

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 Josephine Family Dental LLC's NPI number?

The NPI number for Lake Josephine Family Dental LLC is 1366187643. It was assigned to this organization in the NPPES registry on May 2, 2022.

Where is Lake Josephine Family Dental LLC located?

Lake Josephine Family Dental LLC is located at 2960 Snelling Ave N, Roseville, MN 55113. The listed phone number is (651) 636-5033.

What is Lake Josephine Family Dental LLC'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 Josephine Family Dental LLC was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.