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LAKE SUPERIOR DENTAL ASSOCIATES
NPI 1871672584
Dentist - General Practice in Duluth, MN

Active since November 03, 2006
1225 E 1ST ST, DULUTH, MN 55805(218) 728-6445(218) 724-7003 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Superior Dental Associates NPPES

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

LAKE SUPERIOR DENTAL ASSOCIATES (NPI 1871672584) is a healthcare organization registered as a general practice in Duluth, Minnesota and active in the NPI registry since November 2006. The organization lists Robert G Ryan, Partner, as its authorized official.

NPPES Registry Identity

NPI1871672584
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE SUPERIOR DENTAL ASSOCIATES
Location Address1225 E 1ST STDuluth, MN 55805-2402
Mailing Address1225 E 1st StDuluth, MN 55805-2402 · (218) 728-6445 · Fax (218) 724-7003
Phone(218) 728-6445
Fax(218) 724-7003
Organization SubpartNo
Authorized OfficialRobert G RyanPartner · (218) 728-6445
Enumeration DateNovember 3, 2006
Last NPPES UpdateOctober 30, 2007
✔ NPI 1871672584 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.
1225 E 1ST ST, Duluth, MN 55805
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Other Identifiers 2

Other7B014FOMN · Bcbs Mn
Other820436MN · United Concordia

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 11

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

ANNE DAVIS RDH, DT
Dental Therapist
1225 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-6445
DR. BRUCE DAVID HUSTAD DDS
Dentist (General Practice)
1225 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-6445
DR. RODNEY A HELLER DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
1225 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-6445
DR. SETH AMADIO D.D.S
Dentist (General Practice)
1225 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-6445
DR. MELANIE SUE MEIER BUHR D.D.S.
Dentist (General Practice)
1225 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-6445
DR. JEFFREY POLZIN D.M.D.
Dentist
1225 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-6445
SLA DENTAL PLLC
Dentist (General Practice)
1225 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-6445
DR. SCOTT ALAN POLZIN DDS
Dentist (General Practice)
1225 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-6445

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 Lake Superior Dental Associates's NPI number?

The NPI number for Lake Superior Dental Associates is 1871672584. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Lake Superior Dental Associates located?

Lake Superior Dental Associates is located at 1225 E 1st St, Duluth, MN 55805. The listed phone number is (218) 728-6445.

What is Lake Superior Dental Associates'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 Lake Superior Dental Associates was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.