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

Bloomington Lake Dental Clinic PA

Organization General Practice Dentistry · NPI 1861587842

Bloomington Lake Dental Clinic PA is a General Practice Dentistry in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

3042 Bloomington Ave
Minneapolis, MN 55407-1716
Phone: (612) 729-2393
Fax: (612) 729-2395
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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 D11528 (MN)

Record details

NPI number1861587842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Saundra Rohrer — Manager · (612) 729-2393
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3042 Bloomington Ave, Minneapolis, MN 55407-1716

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