Lake Superior Dental Associates
NPI 1871672584 · General Practice Dentistry · Duluth, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Superior Dental Associates is a General Practice Dentistry organization in Duluth, MN (NPI 1871672584).
Provider details
- NPI number
- 1871672584
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Robert Ryan, Partner(218) 728-6445
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-10-30
Frequently asked questions
- What is Lake Superior Dental Associates's NPI number?
- Lake Superior Dental Associates's National Provider Identifier (NPI) is 1871672584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Superior Dental Associates?
- Lake Superior Dental Associates is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lake Superior Dental Associates located?
- Lake Superior Dental Associates's practice location on file with NPPES is 1225 E 1st St, Duluth, MN 55805-2402.
- What is Lake Superior Dental Associates's phone number?
- The practice phone number listed in the NPPES registry for Lake Superior Dental Associates is (218) 728-6445.
- Does Lake Superior Dental Associates accept Medicare?
- Lake Superior Dental Associates is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Superior Dental Associates?
- The authorized official listed on Lake Superior Dental Associates's NPPES record is Robert Ryan, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Superior Dental Associates's NPI active?
- Yes — Lake Superior Dental Associates's NPI (1871672584) is active in the NPPES registry as of the last update on 2007-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.