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 is a 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.

See every abbreviation used in this directory →

Practice location Address checks out

16991 198th Ave NW
Big Lake, MN 55309-0249
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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