Eden Lakes Dental LLC
NPI 1902596943 · Dental Clinic/Center · Eden Prairie, MN
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eden Lakes Dental LLC is a Dental Clinic/Center organization in Eden Prairie, MN (NPI 1902596943).
Provider details
- NPI number
- 1902596943
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Francesca Catibog, Owner(818) 626-6883
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Preserve Parkway Dental
Registry dates
- Enumerated
- 2023-05-12
- Last updated
- 2023-05-12
- Certified
- 2023-05-01
Frequently asked questions
- What is Eden Lakes Dental LLC's NPI number?
- Eden Lakes Dental LLC's National Provider Identifier (NPI) is 1902596943, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eden Lakes Dental LLC?
- Eden Lakes Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Eden Lakes Dental LLC located?
- Eden Lakes Dental LLC's practice location on file with NPPES is 9613 Anderson Lakes Pkwy, Eden Prairie, MN 55344-4155.
- What is Eden Lakes Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Eden Lakes Dental LLC is (952) 941-0470.
- Does Eden Lakes Dental LLC accept Medicare?
- Eden Lakes Dental LLC 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 Eden Lakes Dental LLC?
- The authorized official listed on Eden Lakes Dental LLC's NPPES record is Francesca Catibog, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eden Lakes Dental LLC's NPI active?
- Yes — Eden Lakes Dental LLC's NPI (1902596943) is active in the NPPES registry as of the last update on 2023-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.