LAKEVILLE MODERN DENTISTRY, PLLC
NPI 1992403919
Clinic/Center - Dental in Lakeville, MN
About Lakeville Modern Dentistry, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEVILLE MODERN DENTISTRY, PLLC (NPI 1992403919) is a healthcare organization registered as a dental in Lakeville, Minnesota and active in the NPI registry since February 2023. The organization lists Eric M Bender, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lakeville Modern Dentistry, PLLC's NPI number?
The NPI number for Lakeville Modern Dentistry, PLLC is 1992403919. It was assigned to this organization in the NPPES registry on February 20, 2023.
Where is Lakeville Modern Dentistry, PLLC located?
Lakeville Modern Dentistry, PLLC is located at 17746 Kenwood Trl, Lakeville, MN 55044. The listed phone number is (920) 723-8420.
What is Lakeville Modern Dentistry, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
What insurance does Lakeville Modern Dentistry, PLLC accept?
Health plans from UnitedHealthcare list Lakeville Modern Dentistry, PLLC 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 Lakeville Modern Dentistry, PLLC was last updated on April 22, 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.
# Lakeville Modern Dentistry, Pllc · NPI 1992403919
Dental organization in Lakeville, Minnesota. Organization record, active in the CMS NPPES registry since February 20, 2023.
## Identity
- **NPI:** 1992403919 (Entity type: Organization)
- **Enumerated:** February 20, 2023
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Eric Bender, PRESIDENT
## Practice location
- **Address:** 17746 KENWOOD TRL, Lakeville, MN 55044-9454
- **Phone:** (920) 723-8420
## Record status
- **NPPES last updated:** April 22, 2023
- **Other identifiers:** Other 1194394288
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Source: [NPI Profile](https://npiprofile.com/npi/1992403919) · Data from the CMS NPPES public registry.