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

Lakeville Dental Associates, PA

Organization General Practice Dentistry · NPI 1053614867

Lakeville Dental Associates, PA provides General Practice Dentistry in Lakeville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
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

20171 Icenic Trl
Lakeville, MN 55044-7708 Not confirmed with CMS for 14 years — call before visiting
Phone: (952) 469-3300
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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 D12108 (MN)

Record details

NPI number1053614867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rose Harrison — Manager · (952) 469-3300
NPI enumeratedDecember 16, 2010
Last updated in NPPESOctober 17, 2011
Mailing address20171 Icenic Trl, Lakeville, MN 55044-7708

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