1. Home
  2. Directory
  3. Minnesota
  4. Mound
  5. Dentist
  6. NPI Profile

WEST LAKES DENTISTRY, PA
NPI 1497113674
Dentist - Oral and Maxillofacial Surgery in Mound, MN

Active since February 03, 2016
5205 SHORELINE DR, MOUND, MN 55364(952) 472-7717 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About West Lakes Dentistry, Pa NPPES

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

WEST LAKES DENTISTRY, PA (NPI 1497113674) is a healthcare organization registered as an oral and maxillofacial surgery in Mound, Minnesota and active in the NPI registry since February 2016. The organization lists Stephanie Miner, Owner, as its authorized official.

NPPES Registry Identity

NPI1497113674
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWEST LAKES DENTISTRY, PA
Location Address5205 SHORELINE DRMound, MN 55364-1770
Mailing Address5205 Shoreline DrMound, MN 55364-1770
Phone(952) 472-7717
Organization SubpartNo
Authorized OfficialStephanie MinerOwner · (952) 472-7717
Enumeration DateFebruary 3, 2016
✔ NPI 1497113674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MN · D11974
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
5205 SHORELINE DR, Mound, MN 55364
Open in Google Maps ↗

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 2

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

DR. REILLY LYNN KROISS DDS
Dentist (General Practice)
5205 SHORELINE DR
MOUND, MN 55364
Hennepin County (952) 472-7717
DR. KELLY RAE MOORE DDS
Dentist
5205 SHORELINE DR
MOUND, MN 55364
Hennepin County (952) 831-2800

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 West Lakes Dentistry, PA's NPI number?

The NPI number for West Lakes Dentistry, PA is 1497113674. It was assigned to this organization in the NPPES registry on February 3, 2016.

Where is West Lakes Dentistry, PA located?

West Lakes Dentistry, PA is located at 5205 Shoreline Dr, Mound, MN 55364. The listed phone number is (952) 472-7717.

What is West Lakes Dentistry, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for West Lakes Dentistry, PA was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.