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ROUND LAKE DENTAL P.A.
NPI 1376676445
Dentist - Pediatric Dentistry in Andover, MN

Active since March 14, 2007
13841 ROUND LAKE BLVD NW, ANDOVER, MN 55304(763) 427-0285(763) 576-0156 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Round Lake Dental P.a. NPPES

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

ROUND LAKE DENTAL P.A. (NPI 1376676445) is a healthcare organization registered as a pediatric dentistry in Andover, Minnesota and active in the NPI registry since March 2007. The organization lists Thomas Richard Swenson, President, as its authorized official.

NPPES Registry Identity

NPI1376676445
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameROUND LAKE DENTAL P.A.
Location Address13841 ROUND LAKE BLVD NWAndover, MN 55304-3664
Mailing Address13841 Round Lake Blvd NwAndover, MN 55304-3664 · (763) 427-0285 · Fax (763) 576-0156
Phone(763) 427-0285
Fax(763) 576-0156
Organization SubpartNo
Authorized OfficialThomas Richard SwensonPresident · (763) 427-0285
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376676445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MN · D10339
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
13841 ROUND LAKE BLVD NW, Andover, MN 55304
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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

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

ROUND LAKE FAMILY DENTISTRY, PLLC
Clinic/Center (Dental)
13841 ROUND LAKE BLVD NW
ANDOVER, MN 55304
Anoka County (763) 427-0285

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 Round Lake Dental P.A.'s NPI number?

The NPI number for Round Lake Dental P.A. is 1376676445. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Round Lake Dental P.A. located?

Round Lake Dental P.A. is located at 13841 Round Lake Blvd NW, Andover, MN 55304. The listed phone number is (763) 427-0285.

What is Round Lake Dental P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Round Lake Dental P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.