Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLAINE LAKES DENTAL, P.L.L.C.
NPI 1821907783
Dentist - General Practice in Blaine, MN

Q: What is Blaine Lakes Dental, P.L.L.C.'s NPI number?

The NPI number for Blaine Lakes Dental, P.L.L.C. is 1821907783. It was assigned to this organization in the NPPES registry on September 4, 2026.

Q: What is Blaine Lakes Dental, P.L.L.C.'s specialty?

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

Active since September 04, 2026

10705 TOWN SQUARE DR NE STE 200, BLAINE, MN 55449(763) 757-1535 Get Directions Write a Review

NPPES record added: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Blaine Lakes Dental, P.l.l.c. NPPES

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

BLAINE LAKES DENTAL, P.L.L.C. (NPI 1821907783) is a healthcare organization registered as a general practice in Blaine, Minnesota and active in the NPI registry since September 2026. The organization lists Firdavs Z Abzhabarov, Dentist, as its authorized official.

NPPES Registry Identity

NPI1821907783

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBLAINE LAKES DENTAL, P.L.L.C.

Location Address10705 TOWN SQUARE DR NE STE 200Blaine, MN 55449-8187

Mailing Address10705 Town Square Dr Ne Ste 200Blaine, MN 55449-8187 · (763) 757-1535

Phone(763) 757-1535

Organization SubpartNo

Authorized OfficialFirdavs Z AbzhabarovDentist · (612) 563-9313

Enumeration DateSeptember 4, 2026

NPPES CertifiedSeptember 4, 2026

✔ NPI 1821907783 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.

10705 TOWN SQUARE DR NE STE 200, Blaine, MN 55449

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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

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 Blaine Lakes Dental, P.L.L.C.'s NPI number?

The NPI number for Blaine Lakes Dental, P.L.L.C. is 1821907783. It was assigned to this organization in the NPPES registry on September 4, 2026.

Where is Blaine Lakes Dental, P.L.L.C. located?

Blaine Lakes Dental, P.L.L.C. is located at 10705 Town Square Dr NE Ste 200, Blaine, MN 55449. The listed phone number is (763) 757-1535.

What is Blaine Lakes Dental, P.L.L.C.'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 Blaine Lakes Dental, P.L.L.C. was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.