OrganizationActive
Lake Josephine Family Dental LLC
NPI 1366187643 · Dental Clinic/Center · Roseville, MN
Lake Josephine Family Dental LLC is a Dental Clinic/Center organization in Roseville, MN (NPI 1366187643).
Provider details
- NPI number
- 1366187643
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sunnie Adsitt, Dentist/Owner(651) 341-0129
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
2960 Snelling Ave N
Roseville, MN 55113-2458
Phone: (651) 636-5033
Fax: (651) 636-5053
Street-level locationGet directions
Mailing address
2960 Snelling Ave N
Roseville, MN 55113-2458
Registry dates
- Enumerated
- 2022-05-02
- Last updated
- 2022-05-02
- Certified
- 2022-04-27
Frequently asked questions
- What is Lake Josephine Family Dental LLC's NPI number?
- Lake Josephine Family Dental LLC's National Provider Identifier (NPI) is 1366187643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Josephine Family Dental LLC?
- Lake Josephine Family Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Josephine Family Dental LLC located?
- Lake Josephine Family Dental LLC's practice location on file with NPPES is 2960 Snelling Ave N, Roseville, MN 55113-2458.
- What is Lake Josephine Family Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Josephine Family Dental LLC is (651) 636-5033.
- Who is the authorized official for Lake Josephine Family Dental LLC?
- The authorized official listed on Lake Josephine Family Dental LLC's NPPES record is Sunnie Adsitt, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Josephine Family Dental LLC's NPI active?
- Yes — Lake Josephine Family Dental LLC's NPI (1366187643) is active in the NPPES registry as of the last update on 2022-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.