ORONO DENTAL CARE PC
NPI 1700058690
Dentist - General Practice in Orono, MN

Active since March 31, 2008
2765 KELLEY PARKWAY, SUITE 140, ORONO, MN 55356(952) 449-9494(952) 449-9499 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 3, 2021, Aug 20, 2021 (2 updates tracked since 2021).

About Orono Dental Care Pc NPPES

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

ORONO DENTAL CARE PC (NPI 1700058690), doing business as Crystal Lake Family Dental Care, Pllc, is a healthcare organization registered as a general practice in Orono, Minnesota and active in the NPI registry since March 2008. The organization lists Brianna Brooke Hammer, President, as its authorized official.

NPPES Registry Identity

NPI1700058690
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameORONO DENTAL CARE PC
Location Address2765 KELLEY PARKWAY, SUITE 140Orono, MN 55356
Mailing Address2765 Kelley Parkway, Suite 140Orono, MN 55356 · (952) 449-9494 · Fax (952) 449-9499
Fax(952) 449-9499
Organization SubpartNo
Authorized OfficialBrianna Brooke HammerPresident · (952) 449-9494
Enumeration DateMarch 31, 2008
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
NPI 1700058690 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 · 9161
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.

2765 KELLEY PARKWAY, Orono, MN 55356

Other Names 1

Former Legal Business NameCrystal Lake Family Dental Care, Pllc

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

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

Dentist
2765 KELLEY PARKWAY, SUITE 140
ORONO, MN 55356

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700058690, enumerated as an "organization" on March 31, 2008.

The provider is located at 2765 KELLEY PARKWAY SUITE 140 ORONO, MN 55356 and the phone number is (952) 449-9494.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.