KIERSTEN MASELLO DDS PLLC
NPI 1518614205
Clinic/Center - Dental in Crosslake, MN

Active since March 03, 2022
13832 RIVERWOOD LN, CROSSLAKE, MN 56442(218) 692-4849 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kiersten Masello Dds Pllc NPPES

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

KIERSTEN MASELLO DDS PLLC (NPI 1518614205), doing business as Crosslake Dental Center, Pa, is a healthcare organization registered as a dental in Crosslake, Minnesota and active in the NPI registry since March 2022. The organization lists Kiersten Micael Boehm Masello, Dentist, as its authorized official.

NPPES Registry Identity

NPI1518614205
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKIERSTEN MASELLO DDS PLLC
Location Address13832 RIVERWOOD LNCrosslake, MN 56442-2823
Mailing Address20438 Whitetail DrBrainerd, MN 56401-5382 · (651) 587-6846
Organization SubpartNo
Authorized OfficialKiersten Micael Boehm MaselloDentist · (651) 587-6846
Enumeration DateMarch 3, 2022
NPPES CertifiedMarch 3, 2022
NPI 1518614205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
13832 RIVERWOOD LN, Crosslake, MN 56442

Other Names 1

Doing Business AsCrosslake Dental Center, Pa

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dental Therapist
13832 RIVERWOOD LN
CROSSLAKE, MN 56442

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 Kiersten Masello Dds PLLC's NPI number?

The NPI number for Kiersten Masello Dds PLLC is 1518614205. It was assigned to this organization in the NPPES registry on March 3, 2022. The provider is doing business as Crosslake Dental Center, PA.

Where is Kiersten Masello Dds PLLC located?

Kiersten Masello Dds PLLC is located at 13832 Riverwood Ln, Crosslake, MN 56442. The listed phone number is (218) 692-4849.

What is Kiersten Masello Dds PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Kiersten Masello Dds PLLC accept?

Health plans from UnitedHealthcare list Kiersten Masello Dds PLLC 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 Kiersten Masello Dds PLLC was last updated on March 3, 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.