RICE LAKE DENTAL, P.A.
NPI 1760107502
Clinic/Center - Dental in Maple Grove, MN

Q: What is Rice Lake Dental, P.A.'s NPI number?

The NPI number for Rice Lake Dental, P.A. is 1760107502. It was assigned to this organization in the NPPES registry on October 4, 2022.

Q: What is Rice Lake Dental, P.A.'s specialty?

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

Active since October 04, 2022

13998 MAPLE KNOLL WAY STE 100, MAPLE GROVE, MN 55369(763) 420-5599(763) 416-4771 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Rice Lake Dental, P.a. NPPES

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

RICE LAKE DENTAL, P.A. (NPI 1760107502) is a healthcare organization registered as a dental in Maple Grove, Minnesota and active in the NPI registry since October 2022. The organization lists Darrel Howard Johnsrud, President, as its authorized official.

NPPES Registry Identity

NPI1760107502

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameRICE LAKE DENTAL, P.A.

Location Address13998 MAPLE KNOLL WAY STE 100Maple Grove, MN 55369-7004

Mailing Address13998 Maple Knoll Way Ste 100Maple Grove, MN 55369-7004 · (763) 420-5599 · Fax (763) 416-4771

Phone(763) 420-5599

Fax(763) 416-4771

Organization SubpartNo

Authorized OfficialDarrel Howard JohnsrudPresident · (612) 385-6718

Enumeration DateOctober 4, 2022

NPPES CertifiedOctober 4, 2022

✔ NPI 1760107502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

13998 MAPLE KNOLL WAY STE 100, Maple Grove, MN 55369

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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 Rice Lake Dental, P.A.'s NPI number?

The NPI number for Rice Lake Dental, P.A. is 1760107502. It was assigned to this organization in the NPPES registry on October 4, 2022.

Where is Rice Lake Dental, P.A. located?

Rice Lake Dental, P.A. is located at 13998 Maple Knoll Way Ste 100, Maple Grove, MN 55369. The listed phone number is (763) 420-5599.

What is Rice Lake Dental, P.A.'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 Rice Lake Dental, P.A. was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.