LAKESIDE FAMILY DENTISTRY
NPI 1790146587
Clinic/Center - Dental in Long Lake, MN

Active since March 08, 2016
1880 W WAYZATA BLVD, LONG LAKE, MN 55356(952) 475-0989(952) 475-2053 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Family Dentistry NPPES

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

LAKESIDE FAMILY DENTISTRY (NPI 1790146587) is a healthcare organization registered as a dental in Long Lake, Minnesota and active in the NPI registry since March 2016. The organization lists Michael E. Giebenhain, Owner, as its authorized official.

NPPES Registry Identity

NPI1790146587
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWATER'S EDGE DENTAL
Location Address1880 W WAYZATA BLVDLong Lake, MN 55356-9491
Mailing Address1880 W Wayzata Blvd, P.o.box 128Long Lake, MN 55356-9491 · (952) 475-0989 · Fax (952) 475-2053
Fax(952) 475-2053
Organization SubpartNo
Authorized OfficialMichael E. GiebenhainOwner · (952) 475-0989
Enumeration DateMarch 8, 2016
NPI 1790146587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1880 W WAYZATA BLVD, Long Lake, MN 55356

Other Names 1

Doing Business AsLakeside Family Dentistry

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1880 W WAYZATA BLVD
LONG LAKE, MN 55356
Dentist
1880 W WAYZATA BLVD
LONG LAKE, MN 55356

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 Water's Edge Dental's NPI number?

The NPI number for Water's Edge Dental is 1790146587. It was assigned to this organization in the NPPES registry on March 8, 2016. The provider is doing business as Lakeside Family Dentistry.

Where is Water's Edge Dental located?

Water's Edge Dental is located at 1880 W Wayzata Blvd, Long Lake, MN 55356. The listed phone number is (952) 475-0989.

What is Water's Edge Dental's specialty?

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

What insurance does Water's Edge Dental accept?

Health plans from UnitedHealthcare list Water's Edge Dental 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 Water's Edge Dental was last updated on March 8, 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.