OrganizationActive
Ham Lake Dental PLLC
NPI 1104400845 · Dental Clinic/Center · Andover, MN
Provider details
- NPI number
- 1104400845
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alex Shnaydruk, Dentist(952) 261-4307
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
16220 Aberdeen St Ne Ste A1
Andover, MN 55304-5421
Phone: (763) 415-7831
Approximate (ZIP-level) locationGet directions
Mailing address
16220 Aberdeen St Ne Ste A1
Andover, MN 55304-5421
Other names (DBA / former)
- Doing business as
- Ham Lake Dental PLLC
Registry dates
- Enumerated
- 2021-05-10
- Last updated
- 2021-05-10
- Certified
- 2021-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.