LAKESHORE FAMILY DENTISTRY PA
NPI 1669585154
Dentist - General Practice in White Bear Lake, MN

Active since August 17, 2006
4706 BANNING AVE, WHITE BEAR LAKE, MN 55110(651) 429-3348(651) 429-3945 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeshore Family Dentistry Pa NPPES

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

LAKESHORE FAMILY DENTISTRY PA (NPI 1669585154), doing business as A.k.a. Kenyon, Wright & Kron Dds Pa, is a healthcare organization registered as a general practice in White Bear Lake, Minnesota and active in the NPI registry since August 2006. The organization lists Jonni D Delgreco, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669585154
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKESHORE FAMILY DENTISTRY PA
Location Address4706 BANNING AVEWhite Bear Lake, MN 55110
Mailing Address4706 Banning AveWhite Bear Lake, MN 55110 · (651) 429-3348 · Fax (651) 429-3945
Fax(651) 429-3945
Organization SubpartNo
Authorized OfficialJonni D DelgrecoOffice Manager · (651) 429-3348
Enumeration DateAugust 17, 2006
Last NPPES UpdateAugust 7, 2008
NPI 1669585154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MN · 8263 Licensed in MN · 9253 Licensed in MN · 10994
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.
4706 BANNING AVE, White Bear Lake, MN 55110

Other Names 1

Former Legal Business NameA.k.a. Kenyon, Wright & Kron Dds Pa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)
4706 BANNING AVE
WHITE BEAR LAKE, MN 55110
Dentist (General Practice)
4706 BANNING AVE
WHITE BEAR LAKE, MN 55110
Dentist (General Practice)
4706 BANNING AVE
WHITE BEAR LAKE, MN 55110

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 Lakeshore Family Dentistry PA's NPI number?

The NPI number for Lakeshore Family Dentistry PA is 1669585154. It was assigned to this organization in the NPPES registry on August 17, 2006. The provider was formerly known as A.K.A. Kenyon, Wright & Kron Dds PA.

Where is Lakeshore Family Dentistry PA located?

Lakeshore Family Dentistry PA is located at 4706 Banning Ave, White Bear Lake, MN 55110. The listed phone number is (651) 429-3348.

What is Lakeshore Family Dentistry PA'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 Lakeshore Family Dentistry PA was last updated on August 7, 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.