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

Lakeville Dental Associates, PA

Organization General Practice Dentistry · NPI 1053614867

Lakeville Dental Associates, PA is a General Practice Dentistry in Lakeville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
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

20171 Icenic Trl
Lakeville, MN 55044-7708
Phone: (952) 469-3300
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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 D12108 (MN)

Record details

NPI number1053614867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rose Harrison — Manager · (952) 469-3300
NPI enumeratedDecember 16, 2010
Last updated in NPPESOctober 17, 2011
Mailing address20171 Icenic Trl, Lakeville, MN 55044-7708

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