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

Long Lake Family Denistry

Organization General Practice Dentistry · NPI 1134574163

Long Lake Family Denistry is a General Practice Dentistry in New Brighton, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
Specialties on file
3

Practice location Address checks out

991 9th Ave NW
New Brighton, MN 55112-2665
Phone: (651) 633-1311
Fax: (651) 633-4339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10256 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence D13480 (MN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 10465 (MN)

Record details

NPI number1134574163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hossein Jalali — Owner · (651) 633-1311
NPI enumeratedApril 27, 2016
Last updated in NPPESApril 27, 2016
Mailing address991 9th Ave Nw, New Brighton, MN 55112-2665

Other providers in New Brighton