CENTRAL LAKES COLLEGE
NPI 1801065958
Dentist - General Practice in Brainerd, MN

Q: What is Minnesota State Colleges And Universities's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since February 22, 2008

501 W COLLEGE DR, BRAINERD, MN 56401(218) 855-8000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Central Lakes College NPPES

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

CENTRAL LAKES COLLEGE (NPI 1801065958) is a healthcare organization registered as a general practice in Brainerd, Minnesota and active in the NPI registry since February 2008. The organization lists Larry Lundblad, President, as its authorized official.

NPPES Registry Identity

NPI1801065958

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMINNESOTA STATE COLLEGES AND UNIVERSITIES

Location Address501 W COLLEGE DRBrainerd, MN 56401-3904

Mailing Address501 W College DrBrainerd, MN 56401-3904 · (218) 855-8000

Phone(218) 855-8000

Organization SubpartYes

Authorized OfficialLarry LundbladPresident · (218) 855-8000

Enumeration DateFebruary 22, 2008

Last NPPES UpdateJuly 21, 2022

✔ NPI 1801065958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

501 W COLLEGE DR, Brainerd, MN 56401

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Other Names 1

Doing Business AsCentral Lakes College

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

VICTORIA ANN SEVERSON DDS

Dentist

501 W COLLEGE DR
BRAINERD, MN 56401

Crow Wing County (218) 855-8244

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 Minnesota State Colleges And Universities's NPI number?

The NPI number for Minnesota State Colleges And Universities is 1801065958. It was assigned to this organization in the NPPES registry on February 22, 2008. The provider is doing business as Central Lakes College.

Where is Minnesota State Colleges And Universities located?

Minnesota State Colleges And Universities is located at 501 W College Dr, Brainerd, MN 56401. The listed phone number is (218) 855-8000.

What is Minnesota State Colleges And Universities's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Minnesota State Colleges And Universities was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.