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

Round Lake Dental PA

Organization Pediatric Dentistry · NPI 1376676445

Round Lake Dental PA is a Pediatric Dentistry in Andover, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13841 Round Lake Blvd NW
Andover, MN 55304-3664
Phone: (763) 427-0285
Fax: (763) 576-0156
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D10339 (MN)

Record details

NPI number1376676445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Swenson — President · (763) 427-0285
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address13841 Round Lake Blvd Nw, Andover, MN 55304-3664