OrganizationActive
Big Lake Dental, PA
NPI 1518141548 · General Practice Dentistry · Big Lake, MN
Big Lake Dental, PA is a General Practice Dentistry organization in Big Lake, MN (NPI 1518141548).
Provider details
- NPI number
- 1518141548
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Roger Bromaghim, Owner(763) 263-6350
- License
- D9355 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
16991 198th Avenue Nw
Big Lake, MN 55309-0249
Phone: (763) 263-6350
Fax: (763) 263-0136
Street-level locationGet directions
Mailing address
Po Box 249
Big Lake, MN 55309-0249
Other names (DBA / former)
- Doing business as
- Sand Prairie Dental
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2007-12-27
Frequently asked questions
- What is Big Lake Dental, PA's NPI number?
- Big Lake Dental, PA's National Provider Identifier (NPI) is 1518141548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Big Lake Dental, PA?
- Big Lake Dental, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Big Lake Dental, PA located?
- Big Lake Dental, PA's practice location on file with NPPES is 16991 198th Avenue Nw, Big Lake, MN 55309-0249.
- What is Big Lake Dental, PA's phone number?
- The practice phone number listed in the NPPES registry for Big Lake Dental, PA is (763) 263-6350.
- Who is the authorized official for Big Lake Dental, PA?
- The authorized official listed on Big Lake Dental, PA's NPPES record is Roger Bromaghim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Big Lake Dental, PA's NPI active?
- Yes — Big Lake Dental, PA's NPI (1518141548) is active in the NPPES registry as of the last update on 2007-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.