OrganizationActive
West Lakes Dentistry, PA
NPI 1497113674 · Oral and Maxillofacial Surgery (Dentist) · Mound, MN
Provider details
- NPI number
- 1497113674
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Stephanie Miner, Owner(952) 472-7717
- License
- D11974 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
5205 Shoreline Dr
Mound, MN 55364-1770
Phone: (952) 472-7717
Street-level locationGet directions
Mailing address
5205 Shoreline Dr
Mound, MN 55364-1770
Registry dates
- Enumerated
- 2016-02-03
- Last updated
- 2016-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.