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LAKE ELMO DENTAL
NPI 1891885000
Dentist in Lake Elmo, MN

Active since October 16, 2006
11240 STILLWATER BLVD N, LAKE ELMO, MN 55128(651) 777-0210(651) 777-0320 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Elmo Dental NPPES

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

LAKE ELMO DENTAL (NPI 1891885000) is a healthcare organization registered as a dentist in Lake Elmo, Minnesota and active in the NPI registry since October 2006. The organization lists Douglas Steven Wolff, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1891885000
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameST CROIX VALLEY DENTAL PLLC
Location Address11240 STILLWATER BLVD NLake Elmo, MN 55128
Mailing Address11240 Stillwater Blvd NLake Elmo, MN 55042 · (651) 777-0210 · Fax (651) 777-0320
Phone(651) 777-0210
Fax(651) 777-0320
Organization SubpartNo
Authorized OfficialDouglas Steven WolffOwner Dentist · (651) 777-0210
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891885000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11240 STILLWATER BLVD N, Lake Elmo, MN 55128
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Other Names 1

Doing Business AsLake Elmo Dental

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 St Croix Valley Dental PLLC's NPI number?

The NPI number for St Croix Valley Dental PLLC is 1891885000. It was assigned to this organization in the NPPES registry on October 16, 2006. The provider is doing business as Lake Elmo Dental.

Where is St Croix Valley Dental PLLC located?

St Croix Valley Dental PLLC is located at 11240 Stillwater Blvd N, Lake Elmo, MN 55128. The listed phone number is (651) 777-0210.

What is St Croix Valley Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for St Croix Valley Dental PLLC 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 5 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.