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

Lakeshore Family Dentistry PA

Organization General Practice Dentistry · NPI 1669585154

Lakeshore Family Dentistry PA provides General Practice Dentistry in White Bear Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
3
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

4706 Banning Ave
White Bear Lake, MN 55110 Not confirmed with CMS for 18 years — call before visiting
Phone: (651) 429-3348
Fax: (651) 429-3945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8263 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9253 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 10994 (MN)

Record details

NPI number1669585154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonni Delgreco — Office Manager · (651) 429-3348
Other names A.K.A. Kenyon, Wright & Kron Dds Pa
NPI enumeratedAugust 17, 2006
Last updated in NPPESAugust 7, 2008
Mailing address4706 Banning Ave, White Bear Lake, MN 55110

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