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

Water's Edge Dental

Organization Dental Clinic/Center · NPI 1790146587

Water's Edge Dental is a Dental Clinic/Center in Long Lake, Minnesota. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1880 W Wayzata Blvd
Long Lake, MN 55356-9491
Phone: (952) 475-0989
Fax: (952) 475-2053
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1790146587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Giebenhain — Owner · (952) 475-0989
Other names Lakeside Family Dentistry
NPI enumeratedMarch 8, 2016
Last updated in NPPESMarch 8, 2016
Mailing address1880 W Wayzata Blvd, P.O.Box 128, Long Lake, MN 55356-9491