Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Big Lake Dental, PA

Organization General Practice Dentistry · NPI 1518141548

Big Lake Dental, PA provides General Practice Dentistry in Big Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16991 198th Ave NW
Big Lake, MN 55309-0249 Not confirmed with CMS for 18 years — call before visiting
Phone: (763) 263-6350
Fax: (763) 263-0136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D9355 (MN)

Record details

NPI number1518141548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Bromaghim — Owner · (763) 263-6350
Other names Sand Prairie Dental
NPI enumeratedDecember 27, 2007
Last updated in NPPESDecember 27, 2007
Mailing addressPo Box 249, Big Lake, MN 55309-0249

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