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

Birch Lake Dental

Organization Dental Clinic/Center · NPI 1922619162

Birch Lake Dental is a Dental Clinic/Center in White Bear Lake, Minnesota. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

4641 White Bear Pkwy
White Bear Lake, MN 55110-3300
Phone: (651) 429-0404
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1922619162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geetha Damodaran — Owner · (651) 429-0404
Other names Birch Lake Dental
NPI enumeratedAugust 12, 2020
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020
Mailing address4641 White Bear Pkwy, White Bear Lake, MN 55110-3300

Other providers in White Bear Lake