EDEN LAKES DENTAL LLC
NPI 1902596943
Clinic/Center - Dental in Eden Prairie, MN

Active since May 12, 2023
9613 ANDERSON LAKES PKWY, EDEN PRAIRIE, MN 55344(952) 941-0470 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eden Lakes Dental Llc NPPES

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

EDEN LAKES DENTAL LLC (NPI 1902596943), doing business as Preserve Parkway Dental, is a healthcare organization registered as a dental in Eden Prairie, Minnesota and active in the NPI registry since May 2023. The organization lists Francesca Catibog, Owner, as its authorized official.

NPPES Registry Identity

NPI1902596943
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEDEN LAKES DENTAL LLC
Location Address9613 ANDERSON LAKES PKWYEden Prairie, MN 55344-4155
Mailing Address7000 Yorktown Ln NMaple Grove, MN 55369-7603 · (818) 626-6883
Organization SubpartNo
Authorized OfficialFrancesca CatibogOwner · (818) 626-6883
Enumeration DateMay 12, 2023
NPPES CertifiedMay 1, 2023
NPI 1902596943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
9613 ANDERSON LAKES PKWY, Eden Prairie, MN 55344

Other Names 1

Doing Business AsPreserve Parkway Dental

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
9613 ANDERSON LAKES PKWY
EDEN PRAIRIE, MN 55344
Dentist
9613 ANDERSON LAKES PKWY
EDEN PRAIRIE, MN 55344
Dentist
9613 ANDERSON LAKES PKWY
EDEN PRAIRIE, MN 55344
Dentist (General Practice)
9613 ANDERSON LAKES PKWY
EDEN PRAIRIE, MN 55344

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 Eden Lakes Dental LLC's NPI number?

The NPI number for Eden Lakes Dental LLC is 1902596943. It was assigned to this organization in the NPPES registry on May 12, 2023. The provider is doing business as Preserve Parkway Dental.

Where is Eden Lakes Dental LLC located?

Eden Lakes Dental LLC is located at 9613 Anderson Lakes Pkwy, Eden Prairie, MN 55344. The listed phone number is (952) 941-0470.

What is Eden Lakes Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Eden Lakes Dental LLC was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.