What is Mahtomedi Dental P.C.'s NPI number?

Mahtomedi Dental P.C.'s National Provider Identifier (NPI) is 1275969263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Mahtomedi Dental P.C.?

Mahtomedi Dental P.C. is classified in the NPPES registry as Dentist (Dental Providers).

Where is Mahtomedi Dental P.C. located?

Mahtomedi Dental P.C.'s practice location on file with NPPES is 12425 55th St N, Lake Elmo, MN 55042-7403.

What is Mahtomedi Dental P.C.'s phone number?

The practice phone number listed in the NPPES registry for Mahtomedi Dental P.C. is (651) 430-1020.

Who is the authorized official for Mahtomedi Dental P.C.?

The authorized official listed on Mahtomedi Dental P.C.'s NPPES record is Laurie Stodola, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Mahtomedi Dental P.C.'s NPI active?

Yes — Mahtomedi Dental P.C.'s NPI (1275969263) is active in the NPPES registry as of the last update on 2013-09-23.

OrganizationActive

Mahtomedi Dental P.C.

NPI 1275969263 · Dentist · Lake Elmo, MN

Mahtomedi Dental P.C. is a Dentist organization in Lake Elmo, MN (NPI 1275969263).

Provider details

NPI number: 1275969263
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Laurie Stodola, Owner/Dentist(651) 430-1020
License: 11396 (MN)

Practice location

12425 55th St N

Lake Elmo, MN 55042-7403

Phone: (651) 430-1020

Fax: (651) 439-2201

Street-level locationGet directions

More MN providers

Mailing address

12425 55th St N

Lake Elmo, MN 55042-7403

Specialties & taxonomies

DentistPrimary122300000XLicense 11396 (MN)
Dental Providers

Other names (DBA / former)

Doing business as: Grace Dental

Profile Score

Detailed profile(78/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 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.

Enumerated: 2013-09-23
Last updated: 2013-09-23

Frequently asked questions

What is Mahtomedi Dental P.C.'s NPI number?: Mahtomedi Dental P.C.'s National Provider Identifier (NPI) is 1275969263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Mahtomedi Dental P.C.?: Mahtomedi Dental P.C. is classified in the NPPES registry as Dentist (Dental Providers).
Where is Mahtomedi Dental P.C. located?: Mahtomedi Dental P.C.'s practice location on file with NPPES is 12425 55th St N, Lake Elmo, MN 55042-7403.
What is Mahtomedi Dental P.C.'s phone number?: The practice phone number listed in the NPPES registry for Mahtomedi Dental P.C. is (651) 430-1020.
Who is the authorized official for Mahtomedi Dental P.C.?: The authorized official listed on Mahtomedi Dental P.C.'s NPPES record is Laurie Stodola, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Mahtomedi Dental P.C.'s NPI active?: Yes — Mahtomedi Dental P.C.'s NPI (1275969263) is active in the NPPES registry as of the last update on 2013-09-23.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions