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

Round Lake Dental PA

Organization Pediatric Dentistry · NPI 1376676445

Round Lake Dental PA provides Pediatric Dentistry in Andover, 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.

See every abbreviation used in this directory →

Practice location Address checks out

13841 Round Lake Blvd NW
Andover, MN 55304-3664
Phone: (763) 427-0285
Fax: (763) 576-0156
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D10339 (MN)

Record details

NPI number1376676445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Swenson — President · (763) 427-0285
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address13841 Round Lake Blvd Nw, Andover, MN 55304-3664