Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bloomington Lake Dental Clinic PA

Organization General Practice Dentistry · NPI 1861587842

Bloomington Lake Dental Clinic PA provides General Practice Dentistry in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3042 Bloomington Ave
Minneapolis, MN 55407-1716
Phone: (612) 729-2393
Fax: (612) 729-2395
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D11528 (MN)

Record details

NPI number1861587842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Saundra Rohrer — Manager · (612) 729-2393
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3042 Bloomington Ave, Minneapolis, MN 55407-1716

Other providers in Minneapolis