OrganizationActive
Land of Lakes Endodontics PA
NPI 1710108022 · Endodontics · Stillwater, MN
Land of Lakes Endodontics PA is a Endodontics organization in Stillwater, MN (NPI 1710108022).
Provider details
- NPI number
- 1710108022
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Grau, Owner(651) 439-8764
- License
- 11312 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2850 Curve Crest Blvd W Ste 115
Stillwater, MN 55082-6101
Phone: (651) 439-8764
Fax: (651) 439-9660
Street-level locationGet directions
Mailing address
2850 Curve Crest Blvd W Ste 115
Stillwater, MN 55082-4073
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2016-02-16
Frequently asked questions
- What is Land of Lakes Endodontics PA's NPI number?
- Land of Lakes Endodontics PA's National Provider Identifier (NPI) is 1710108022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Land of Lakes Endodontics PA?
- Land of Lakes Endodontics PA is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Land of Lakes Endodontics PA located?
- Land of Lakes Endodontics PA's practice location on file with NPPES is 2850 Curve Crest Blvd W Ste 115, Stillwater, MN 55082-6101.
- What is Land of Lakes Endodontics PA's phone number?
- The practice phone number listed in the NPPES registry for Land of Lakes Endodontics PA is (651) 439-8764.
- Who is the authorized official for Land of Lakes Endodontics PA?
- The authorized official listed on Land of Lakes Endodontics PA's NPPES record is Matthew Grau, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Land of Lakes Endodontics PA's NPI active?
- Yes — Land of Lakes Endodontics PA's NPI (1710108022) is active in the NPPES registry as of the last update on 2016-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.