OrganizationActive
Lakeville Orthodontic Associates LLC
NPI 1003093485 · Orthodontics and Dentofacial Orthopedics Dentistry · Lakeville, MN
Provider details
- NPI number
- 1003093485
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Scott Bowlby, Doctor(952) 435-4000
- License
- D12240 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10440 185th St W
Suite 300
Lakeville, MN 55044-6678
Phone: (952) 435-4000
Fax: (952) 435-8001
Street-level locationGet directions
Mailing address
10440 185th St W
Lakeville, MN 55044-6678
Registry dates
- Enumerated
- 2008-01-28
- Last updated
- 2008-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.