BASS LAKE DENTAL GROUP
NPI 1639334428
Dentist - General Practice in New Hope, MN

Active since July 22, 2008
7123 BASS LAKE RD, NEW HOPE, MN 55428(763) 533-5359(763) 533-0010 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bass Lake Dental Group NPPES

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

BASS LAKE DENTAL GROUP (NPI 1639334428) is a healthcare organization registered as a general practice in New Hope, Minnesota and active in the NPI registry since July 2008. The organization lists Bryan Jeffrey Ophaug, President, as its authorized official.

NPPES Registry Identity

NPI1639334428
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRYAN J. OPHAUG, D.D.S., P.A.
Location Address7123 BASS LAKE RDNew Hope, MN 55428-3822
Mailing Address7123 Bass Lake RdNew Hope, MN 55428-3822 · (763) 533-5359 · Fax (763) 533-0010
Fax(763) 533-0010
Organization SubpartNo
Authorized OfficialBryan Jeffrey OphaugPresident · (763) 533-5359
Enumeration DateJuly 22, 2008
NPI 1639334428 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 · D11890
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.
7123 BASS LAKE RD, New Hope, MN 55428

Other Names 1

Other NameBass Lake Dental Group

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
7123 BASS LAKE RD
NEW HOPE, MN 55428
Dentist (General Practice)
7123 BASS LAKE RD
NEW HOPE, MN 55428
Dentist (General Practice)
7123 BASS LAKE RD
NEW HOPE, MN 55428

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 Bryan J. Ophaug, D.D.S., P.A.'s NPI number?

The NPI number for Bryan J. Ophaug, D.D.S., P.A. is 1639334428. It was assigned to this organization in the NPPES registry on July 22, 2008. The provider is also known as Bass Lake Dental Group.

Where is Bryan J. Ophaug, D.D.S., P.A. located?

Bryan J. Ophaug, D.D.S., P.A. is located at 7123 Bass Lake Rd, New Hope, MN 55428. The listed phone number is (763) 533-5359.

What is Bryan J. Ophaug, D.D.S., P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Bryan J. Ophaug, D.D.S., P.A. was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.