OrganizationActive
Lake Area Dental
NPI 1265248173 · Dental Clinic/Center · White Bear Lake, MN
Lake Area Dental is a Dental Clinic/Center organization in White Bear Lake, MN (NPI 1265248173).
Provider details
- NPI number
- 1265248173
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jordan Dittberner, Dentist(651) 308-1177
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4801 Highway 61 N Ste 301
White Bear Lake, MN 55110-2753
Phone: (651) 762-8474
Street-level locationGet directions
Mailing address
140 Wildwood Ct
Mahtomedi, MN 55115-4200
Registry dates
- Enumerated
- 2024-12-05
- Last updated
- 2024-12-05
- Certified
- 2024-12-05
Frequently asked questions
- What is Lake Area Dental's NPI number?
- Lake Area Dental's National Provider Identifier (NPI) is 1265248173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Area Dental?
- Lake Area Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Area Dental located?
- Lake Area Dental's practice location on file with NPPES is 4801 Highway 61 N Ste 301, White Bear Lake, MN 55110-2753.
- What is Lake Area Dental's phone number?
- The practice phone number listed in the NPPES registry for Lake Area Dental is (651) 762-8474.
- Who is the authorized official for Lake Area Dental?
- The authorized official listed on Lake Area Dental's NPPES record is Jordan Dittberner, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Area Dental's NPI active?
- Yes — Lake Area Dental's NPI (1265248173) is active in the NPPES registry as of the last update on 2024-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.