LAKE FAMILY DENTAL
NPI 1497745400
Dentist - General Practice in Warroad, MN

Active since October 21, 2005
307 SOUTH STATE AVE, WARROAD, MN 56763(218) 386-1048(218) 386-1049 Get Directions Write a Review

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

About Lake Family Dental NPPES

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

LAKE FAMILY DENTAL (NPI 1497745400) is a healthcare organization registered as a general practice in Warroad, Minnesota and active in the NPI registry since October 2005. The organization lists Kathy Ann Thiele, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1497745400
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWARROAD FAMILY DENTISTRY, LTD
Location Address307 SOUTH STATE AVEWarroad, MN 56763-0490
Mailing AddressPo Box 490Warroad, MN 56763-0490 · (218) 386-1048 · Fax (218) 386-1049
Fax(218) 386-1049
Organization SubpartNo
Authorized OfficialKathy Ann ThieleCorporate Secretary · (218) 386-1048
Enumeration DateOctober 21, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1497745400 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 · 9514
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.
307 SOUTH STATE AVE, Warroad, MN 56763

Other Names 1

Doing Business AsLake Family 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

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 Warroad Family Dentistry, Ltd's NPI number?

The NPI number for Warroad Family Dentistry, Ltd is 1497745400. It was assigned to this organization in the NPPES registry on October 21, 2005. The provider is doing business as Lake Family Dental.

Where is Warroad Family Dentistry, Ltd located?

Warroad Family Dentistry, Ltd is located at 307 South State Ave, Warroad, MN 56763. The listed phone number is (218) 386-1048.

What is Warroad Family Dentistry, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Warroad Family Dentistry, Ltd accept?

Health plans from UnitedHealthcare list Warroad Family Dentistry, Ltd 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 Warroad Family Dentistry, Ltd 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.