RIVERS EDGE DENTAL CLINIC, PLLC
NPI 1750861258
Clinic/Center - Dental in Lakeville, MN

Active since August 15, 2018
16023 ELMHURST LN STE 104, LAKEVILLE, MN 55044(952) 232-6454(651) 460-6123 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Rivers Edge Dental Clinic, Pllc NPPES

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

RIVERS EDGE DENTAL CLINIC, PLLC (NPI 1750861258) is a healthcare organization registered as a dental in Lakeville, Minnesota and active in the NPI registry since August 2018. The organization lists Jessica Ann Tri, Owner, as its authorized official.

NPPES Registry Identity

NPI1750861258
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRIVERS EDGE DENTAL CLINIC, PLLC
Location Address16023 ELMHURST LN STE 104Lakeville, MN 55044-4791
Mailing Address16023 Elmhurst Ln Ste 104Lakeville, MN 55044-4791 · (952) 232-6454 · Fax (651) 460-6123
Fax(651) 460-6123
Organization SubpartYes
Authorized OfficialJessica Ann TriOwner · (952) 232-6454
Enumeration DateAugust 15, 2018
NPI 1750861258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
16023 ELMHURST LN STE 104, Lakeville, MN 55044

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 Rivers Edge Dental Clinic, PLLC's NPI number?

The NPI number for Rivers Edge Dental Clinic, PLLC is 1750861258. It was assigned to this organization in the NPPES registry on August 15, 2018.

Where is Rivers Edge Dental Clinic, PLLC located?

Rivers Edge Dental Clinic, PLLC is located at 16023 Elmhurst Ln Ste 104, Lakeville, MN 55044. The listed phone number is (952) 232-6454.

What is Rivers Edge Dental Clinic, 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 Rivers Edge Dental Clinic, PLLC was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.