OrganizationActive
Water'S Edge Dental
NPI 1790146587 · Dental Clinic/Center · Long Lake, MN
Water'S Edge Dental is a Dental Clinic/Center organization in Long Lake, MN (NPI 1790146587).
Provider details
- NPI number
- 1790146587
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Giebenhain, Owner(952) 475-0989
Specialties & taxonomies
Ambulatory Health Care Facilities
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
1880 W Wayzata Blvd
Long Lake, MN 55356-9491
Phone: (952) 475-0989
Fax: (952) 475-2053
Street-level locationGet directions
Mailing address
1880 W Wayzata Blvd
Long Lake, MN 55356-9491
Other names (DBA / former)
- Doing business as
- Lakeside Family Dentistry
Registry dates
- Enumerated
- 2016-03-08
- Last updated
- 2016-03-08
Frequently asked questions
- What is Water'S Edge Dental's NPI number?
- Water'S Edge Dental's National Provider Identifier (NPI) is 1790146587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Water'S Edge Dental?
- Water'S Edge Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Water'S Edge Dental located?
- Water'S Edge Dental's practice location on file with NPPES is 1880 W Wayzata Blvd, Long Lake, MN 55356-9491.
- What is Water'S Edge Dental's phone number?
- The practice phone number listed in the NPPES registry for Water'S Edge Dental is (952) 475-0989.
- Who is the authorized official for Water'S Edge Dental?
- The authorized official listed on Water'S Edge Dental's NPPES record is Michael Giebenhain, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Water'S Edge Dental's NPI active?
- Yes — Water'S Edge Dental's NPI (1790146587) is active in the NPPES registry as of the last update on 2016-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.