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

Ham Lake Dental PLLC

Organization Dental Clinic/Center · NPI 1104400845

Ham Lake Dental PLLC is a Dental Clinic/Center in Andover, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
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

16220 Aberdeen St NE Ste A1
Andover, MN 55304-5421
Phone: (763) 415-7831
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 number1104400845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alex Shnaydruk — Dentist · (952) 261-4307
Other names Ham Lake Dental Pllc
NPI enumeratedMay 10, 2021
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021
Mailing address16220 Aberdeen St Ne Ste A1, Andover, MN 55304-5421

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