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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: August 16, 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
Phone(952) 449-9494
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
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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.

DR. BRIANNA B. HAMMER D.D.S.
Dentist
2765 KELLEY PARKWAY, SUITE 140
ORONO, MN 55356
Hennepin County (952) 449-9494

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 Orono Dental Care PC's NPI number?

The NPI number for Orono Dental Care PC is 1700058690. It was assigned to this organization in the NPPES registry on March 31, 2008. The provider was formerly known as Crystal Lake Family Dental Care, PLLC.

Where is Orono Dental Care PC located?

Orono Dental Care PC is located at 2765 Kelley Parkway Suite 140, Orono, MN 55356. The listed phone number is (952) 449-9494.

What is Orono Dental Care PC'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 Orono Dental Care PC was last updated on December 3, 2021. 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.