ROUND LAKE FAMILY DENTISTRY, PLLC
NPI 1730655242
Clinic/Center - Dental in Andover, MN

Active since October 23, 2018
13841 ROUND LAKE BLVD NW, ANDOVER, MN 55304(763) 427-0285 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Round Lake Family Dentistry, Pllc NPPES

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

ROUND LAKE FAMILY DENTISTRY, PLLC (NPI 1730655242) is a healthcare organization registered as a dental in Andover, Minnesota and active in the NPI registry since October 2018. The organization lists Phillip Zhan, Owner, as its authorized official.

NPPES Registry Identity

NPI1730655242
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameROUND LAKE FAMILY DENTISTRY, PLLC
Location Address13841 ROUND LAKE BLVD NWAndover, MN 55304-3664
Mailing Address7493 147th St W Ste 100Apple Valley, MN 55124-7570 · (952) 432-7145
Organization SubpartNo
Authorized OfficialPhillip ZhanOwner · (612) 308-9416
Enumeration DateOctober 23, 2018
NPI 1730655242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
13841 ROUND LAKE BLVD NW, Andover, MN 55304

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 (Pediatric Dentistry)
13841 ROUND LAKE BLVD NW
ANDOVER, MN 55304

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 Round Lake Family Dentistry, PLLC's NPI number?

The NPI number for Round Lake Family Dentistry, PLLC is 1730655242. It was assigned to this organization in the NPPES registry on October 23, 2018.

Where is Round Lake Family Dentistry, PLLC located?

Round Lake Family Dentistry, PLLC is located at 13841 Round Lake Blvd NW, Andover, MN 55304. The listed phone number is (763) 427-0285.

What is Round Lake Family Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Round Lake Family Dentistry, PLLC was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.