OrganizationActive
Lakeville Dental Associates, PA
NPI 1053614867 · General Practice Dentistry · Lakeville, MN
Lakeville Dental Associates, PA is a General Practice Dentistry organization in Lakeville, MN (NPI 1053614867).
Provider details
- NPI number
- 1053614867
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rose Harrison, Manager(952) 469-3300
- License
- D12108 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
20171 Icenic Trl
Lakeville, MN 55044-7708
Phone: (952) 469-3300
Street-level locationGet directions
Mailing address
20171 Icenic Trl
Lakeville, MN 55044-7708
Registry dates
- Enumerated
- 2010-12-16
- Last updated
- 2011-10-17
Frequently asked questions
- What is Lakeville Dental Associates, PA's NPI number?
- Lakeville Dental Associates, PA's National Provider Identifier (NPI) is 1053614867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeville Dental Associates, PA?
- Lakeville Dental Associates, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lakeville Dental Associates, PA located?
- Lakeville Dental Associates, PA's practice location on file with NPPES is 20171 Icenic Trl, Lakeville, MN 55044-7708.
- What is Lakeville Dental Associates, PA's phone number?
- The practice phone number listed in the NPPES registry for Lakeville Dental Associates, PA is (952) 469-3300.
- Who is the authorized official for Lakeville Dental Associates, PA?
- The authorized official listed on Lakeville Dental Associates, PA's NPPES record is Rose Harrison, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeville Dental Associates, PA's NPI active?
- Yes — Lakeville Dental Associates, PA's NPI (1053614867) is active in the NPPES registry as of the last update on 2011-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.