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

Lakeshore Family Dentistry PA

Organization General Practice Dentistry · NPI 1669585154

Lakeshore Family Dentistry PA is a General Practice Dentistry in White Bear Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
3
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

4706 Banning Ave
White Bear Lake, MN 55110
Phone: (651) 429-3348
Fax: (651) 429-3945
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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 8263 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9253 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 10994 (MN)

Record details

NPI number1669585154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonni Delgreco — Office Manager · (651) 429-3348
Other names A.K.A. Kenyon, Wright & Kron Dds Pa
NPI enumeratedAugust 17, 2006
Last updated in NPPESAugust 7, 2008
Mailing address4706 Banning Ave, White Bear Lake, MN 55110

Other providers in White Bear Lake