CLD - BROOKLYN PARK MN, LLC
NPI 1770283475
Clinic/Center - Dental in Brooklyn Park, MN

Q: What is Cld - Brooklyn Park Mn, LLC's NPI number?

The NPI number for Cld - Brooklyn Park Mn, LLC is 1770283475. It was assigned to this organization in the NPPES registry on March 9, 2023. The provider is doing business as Clear Lakes Dental.

Q: What is Cld - Brooklyn Park Mn, LLC's specialty?

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

Active since March 09, 2023

7710 BROOKLYN BLVD FL 1, BROOKLYN PARK, MN 55443(651) 292-9331 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Cld - Brooklyn Park Mn, Llc NPPES

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

CLD - BROOKLYN PARK MN, LLC (NPI 1770283475), doing business as Clear Lakes Dental, is a healthcare organization registered as a dental in Brooklyn Park, Minnesota and active in the NPI registry since March 2023. The organization lists David Park, Ceo / Owner, as its authorized official.

NPPES Registry Identity

NPI1770283475

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCLD - BROOKLYN PARK MN, LLC

Location Address7710 BROOKLYN BLVD FL 1Brooklyn Park, MN 55443-2979

Mailing Address7710 Brooklyn Blvd Fl 1Brooklyn Park, MN 55443-2979 · (651) 292-9331

Phone(651) 292-9331

Organization SubpartNo

Authorized OfficialDavid ParkCeo / Owner · (651) 444-9644

Enumeration DateMarch 9, 2023

NPPES CertifiedMarch 9, 2023

✔ NPI 1770283475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

7710 BROOKLYN BLVD FL 1, Brooklyn Park, MN 55443

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Other Names 1

Doing Business AsClear Lakes Dental

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IGNITE DENTAL PLLC

Dentist (General Practice)

7710 BROOKLYN BLVD FL 1
MINNEAPOLIS, MN 55443

Hennepin County (651) 292-9331

SAMANTHA MICHELLE FONKERT HANSON DDS

Dentist

7710 BROOKLYN BLVD FL 1
BROOKLYN PARK, MN 55443

Hennepin County (651) 292-9331

IGOR SHILO DDS

Dentist

7710 BROOKLYN BLVD FL 1
BROOKLYN PARK, MN 55443

Hennepin County (651) 292-9331

CAROLINE DSOUZA

Dentist (General Practice)

7710 BROOKLYN BLVD FL 1
MINNEAPOLIS, MN 55443

Hennepin County (651) 292-9331

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 Cld - Brooklyn Park Mn, LLC's NPI number?

The NPI number for Cld - Brooklyn Park Mn, LLC is 1770283475. It was assigned to this organization in the NPPES registry on March 9, 2023. The provider is doing business as Clear Lakes Dental.

Where is Cld - Brooklyn Park Mn, LLC located?

Cld - Brooklyn Park Mn, LLC is located at 7710 Brooklyn Blvd Fl 1, Brooklyn Park, MN 55443. The listed phone number is (651) 292-9331.

What is Cld - Brooklyn Park Mn, LLC'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 Cld - Brooklyn Park Mn, LLC was last updated on March 9, 2023. 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.