Birch Lake Dental PA
NPI 1083853113 · General Practice Dentistry · White Bear Lake, MN
Birch Lake Dental PA is a General Practice Dentistry organization in White Bear Lake, MN (NPI 1083853113).
Provider details
- NPI number
- 1083853113
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Geetha Damodaran, Owner(651) 429-0404
- License
- 7712MN (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2009-02-12
- Last updated
- 2009-02-12
Frequently asked questions
- What is Birch Lake Dental PA's NPI number?
- Birch Lake Dental PA's National Provider Identifier (NPI) is 1083853113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Birch Lake Dental PA?
- Birch Lake Dental PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Birch Lake Dental PA located?
- Birch Lake Dental PA's practice location on file with NPPES is 2641 White Bear Parkway, White Bear Lake, MN 55110.
- What is Birch Lake Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Birch Lake Dental PA is (651) 429-0404.
- Who is the authorized official for Birch Lake Dental PA?
- The authorized official listed on Birch Lake Dental PA's NPPES record is Geetha Damodaran, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Birch Lake Dental PA's NPI active?
- Yes — Birch Lake Dental PA's NPI (1083853113) is active in the NPPES registry as of the last update on 2009-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.