OrganizationActive
Birch Lake Dental
NPI 1922619162 · Dental Clinic/Center · White Bear Lake, MN
Birch Lake Dental is a Dental Clinic/Center organization in White Bear Lake, MN (NPI 1922619162).
Provider details
- NPI number
- 1922619162
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Geetha Damodaran, Owner(651) 429-0404
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
4641 White Bear Pkwy
White Bear Lake, MN 55110-3300
Phone: (651) 429-0404
Street-level locationGet directions
Mailing address
4641 White Bear Pkwy
White Bear Lake, MN 55110-3300
Other names (DBA / former)
- Doing business as
- Birch Lake Dental
Registry dates
- Enumerated
- 2020-08-12
- Last updated
- 2020-08-12
- Certified
- 2020-08-12
Frequently asked questions
- What is Birch Lake Dental's NPI number?
- Birch Lake Dental's National Provider Identifier (NPI) is 1922619162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Birch Lake Dental?
- Birch Lake Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Birch Lake Dental located?
- Birch Lake Dental's practice location on file with NPPES is 4641 White Bear Pkwy, White Bear Lake, MN 55110-3300.
- What is Birch Lake Dental's phone number?
- The practice phone number listed in the NPPES registry for Birch Lake Dental is (651) 429-0404.
- Who is the authorized official for Birch Lake Dental?
- The authorized official listed on Birch Lake Dental's NPPES record is Geetha Damodaran, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Birch Lake Dental's NPI active?
- Yes — Birch Lake Dental's NPI (1922619162) is active in the NPPES registry as of the last update on 2020-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.