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BLOOMINGTON LAKE DENTAL CLINIC PA
NPI 1861587842
Dentist - General Practice in Minneapolis, MN

Active since October 04, 2006
3042 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407(612) 729-2393(612) 729-2395 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bloomington Lake Dental Clinic Pa NPPES

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

BLOOMINGTON LAKE DENTAL CLINIC PA (NPI 1861587842) is a healthcare organization registered as a general practice in Minneapolis, Minnesota and active in the NPI registry since October 2006. The organization lists Saundra Ann Rohrer, Manager, as its authorized official.

NPPES Registry Identity

NPI1861587842
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLOOMINGTON LAKE DENTAL CLINIC PA
Location Address3042 BLOOMINGTON AVEMinneapolis, MN 55407-1716
Mailing Address3042 Bloomington AveMinneapolis, MN 55407-1716 · (612) 729-2393 · Fax (612) 729-2395
Phone(612) 729-2393
Fax(612) 729-2395
Organization SubpartNo
Authorized OfficialSaundra Ann RohrerManager · (612) 729-2393
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861587842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D11528
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.
3042 BLOOMINGTON AVE, Minneapolis, MN 55407
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

DR. GARY MARSHALL ROHRER DDS
Dentist (General Practice)
3042 BLOOMINGTON AVE
MINNEAPOLIS, MN 55407
Hennepin County (612) 729-2393

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 Bloomington Lake Dental Clinic PA's NPI number?

The NPI number for Bloomington Lake Dental Clinic PA is 1861587842. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Bloomington Lake Dental Clinic PA located?

Bloomington Lake Dental Clinic PA is located at 3042 Bloomington Ave, Minneapolis, MN 55407. The listed phone number is (612) 729-2393.

What is Bloomington Lake Dental Clinic PA'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 Bloomington Lake Dental Clinic PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.