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

Lake Josephine Family Dental LLC

Organization Dental Clinic/Center · NPI 1366187643

Lake Josephine Family Dental LLC is a Dental Clinic/Center in Roseville, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2960 Snelling Ave N
Roseville, MN 55113-2458
Phone: (651) 636-5033
Fax: (651) 636-5053
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 number1366187643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sunnie Adsitt — Dentist/Owner · (651) 341-0129
NPI enumeratedMay 2, 2022
Last updated in NPPESMay 2, 2022
Certification dateApril 27, 2022
Mailing address2960 Snelling Ave N, Roseville, MN 55113-2458

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