OrganizationActive
Rice Lake Dental, P.A.
NPI 1760107502 · Dental Clinic/Center · Maple Grove, MN
Rice Lake Dental, P.A. is a Dental Clinic/Center organization in Maple Grove, MN (NPI 1760107502).
Provider details
- NPI number
- 1760107502
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Darrel Johnsrud, President(612) 385-6718
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
13998 Maple Knoll Way Ste 100
Maple Grove, MN 55369-7004
Phone: (763) 420-5599
Fax: (763) 416-4771
Street-level locationGet directions
Mailing address
13998 Maple Knoll Way Ste 100
Maple Grove, MN 55369-7004
Registry dates
- Enumerated
- 2022-10-04
- Last updated
- 2022-10-04
- Certified
- 2022-10-04
Frequently asked questions
- What is Rice Lake Dental, P.A.'s NPI number?
- Rice Lake Dental, P.A.'s National Provider Identifier (NPI) is 1760107502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rice Lake Dental, P.A.?
- Rice Lake Dental, P.A. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Rice Lake Dental, P.A. located?
- Rice Lake Dental, P.A.'s practice location on file with NPPES is 13998 Maple Knoll Way Ste 100, Maple Grove, MN 55369-7004.
- What is Rice Lake Dental, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Rice Lake Dental, P.A. is (763) 420-5599.
- Who is the authorized official for Rice Lake Dental, P.A.?
- The authorized official listed on Rice Lake Dental, P.A.'s NPPES record is Darrel Johnsrud, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rice Lake Dental, P.A.'s NPI active?
- Yes — Rice Lake Dental, P.A.'s NPI (1760107502) is active in the NPPES registry as of the last update on 2022-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.