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

Lakeville Modern Dentistry, PLLC

Organization Dental Clinic/Center · NPI 1992403919

Lakeville Modern Dentistry, PLLC is a Dental Clinic/Center in Lakeville, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
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

17746 Kenwood Trl
Lakeville, MN 55044-9454
Phone: (920) 723-8420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1992403919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Bender — President · (920) 723-8420
NPI enumeratedFebruary 20, 2023
Last updated in NPPESApril 22, 2023
Certification dateApril 22, 2023
Mailing address17746 Kenwood Trl, Lakeville, MN 55044-9454

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