DR. LISA ANN EDSTROM DDS
NPI 1922235027
Dentist in Eagan, MN

Active since June 16, 2009
3436 DENMARK AVE, EAGAN, MN 55123(651) 452-4455 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lisa Ann Edstrom Dds NPPES

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

DR. LISA ANN EDSTROM DDS (NPI 1922235027) is an individual dentist in Eagan, Minnesota, licensed in Minnesota (D12681) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1922235027
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. LISA ANN EDSTROMCredential: DDS
Location Address3436 DENMARK AVEEagan, MN 55123-1088
Mailing Address3436 Denmark AveEagan, MN 55123-1088 · (651) 452-4455
Sole ProprietorNo
Enumeration DateJune 16, 2009
Last NPPES UpdateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
NPI 1922235027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MN · D12681
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.
3436 DENMARK AVE, Eagan, MN 55123

Accepted Insurance

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.

Clinic/Center (Dental)
3436 DENMARK AVE
EAGAN, MN 55123
Dentist (General Practice)
3436 DENMARK AVE
EAGAN, MN 55123
Dentist (General Practice)
3436 DENMARK AVE
EAGAN, MN 55123
Dentist
3436 DENMARK AVE
EAGAN, MN 55123

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 Lisa Edstrom's NPI number?

The NPI number for Lisa Edstrom is 1922235027. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Lisa Edstrom located?

Lisa Edstrom practices at 3436 Denmark Ave, Eagan, MN 55123. The listed phone number is (651) 452-4455.

What is Lisa Edstrom's specialty?

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

What insurance does Lisa Edstrom accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 1 other insurer list Lisa Edstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Edstrom was last updated on September 30, 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.