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

West Lakes Dentistry, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1497113674

West Lakes Dentistry, PA is an Oral and Maxillofacial Surgery (Dentist) in Mound, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
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

5205 Shoreline Dr
Mound, MN 55364-1770
Phone: (952) 472-7717
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D11974 (MN)

Record details

NPI number1497113674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Miner — Owner · (952) 472-7717
NPI enumeratedFebruary 3, 2016
Last updated in NPPESFebruary 3, 2016
Mailing address5205 Shoreline Dr, Mound, MN 55364-1770