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

Blaine Lakes Dental, PLLC

Organization General Practice Dentistry · NPI 1821907783

Blaine Lakes Dental, PLLC provides General Practice Dentistry in Blaine, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10705 Town Square Dr NE Ste 200
Blaine, MN 55449-8187
Phone: (763) 757-1535
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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

Record details

NPI number1821907783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Firdavs Abzhabarov — Dentist · (612) 563-9313
NPI enumeratedSeptember 4, 2026
Last updated in NPPESSeptember 4, 2026
Certification dateSeptember 4, 2026
Mailing address10705 Town Square Dr Ne Ste 200, Blaine, MN 55449-8187

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