LAND OF LAKES ENDODONTICS PA
NPI 1710108022
Dentist - Endodontics in Stillwater, MN

Active since May 02, 2007
2850 CURVE CREST BLVD W STE 115, STILLWATER, MN 55082(651) 439-8764(651) 439-9660 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Land Of Lakes Endodontics Pa NPPES

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

LAND OF LAKES ENDODONTICS PA (NPI 1710108022) is a healthcare organization registered as an endodontics in Stillwater, Minnesota and active in the NPI registry since May 2007. The organization lists Matthew M Grau, Owner, as its authorized official.

NPPES Registry Identity

NPI1710108022
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameLAND OF LAKES ENDODONTICS PA
Location Address2850 CURVE CREST BLVD W STE 115Stillwater, MN 55082-6101
Mailing Address2850 Curve Crest Blvd W Ste 115Stillwater, MN 55082-4073 · (651) 439-8764 · Fax (651) 439-9660
Fax(651) 439-9660
Organization SubpartNo
Authorized OfficialMatthew M GrauOwner · (651) 439-8764
Enumeration DateMay 2, 2007
Last NPPES UpdateFebruary 16, 2016
NPI 1710108022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in MN · 11312
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
2850 CURVE CREST BLVD W STE 115, Stillwater, MN 55082

Other Identifiers 2

Other237L1LAMN · Bcbs
Medicare ID-Type Unspecified13614MN · Ucare

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

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.

Dentist (Endodontics)
2850 CURVE CREST BLVD W STE 115
STILLWATER, MN 55082

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 Land Of Lakes Endodontics PA's NPI number?

The NPI number for Land Of Lakes Endodontics PA is 1710108022. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Land Of Lakes Endodontics PA located?

Land Of Lakes Endodontics PA is located at 2850 Curve Crest Blvd W Ste 115, Stillwater, MN 55082. The listed phone number is (651) 439-8764.

What is Land Of Lakes Endodontics PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Land Of Lakes Endodontics PA accept?

Health plans from UnitedHealthcare list Land Of Lakes Endodontics PA 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 Land Of Lakes Endodontics PA was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.