OrganizationActive
Lakeville Modern Dentistry, PLLC
NPI 1992403919 · Dental Clinic/Center · Lakeville, MN
Lakeville Modern Dentistry, PLLC is a Dental Clinic/Center organization in Lakeville, MN (NPI 1992403919).
Provider details
- NPI number
- 1992403919
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Bender, President(920) 723-8420
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
17746 Kenwood Trl
Lakeville, MN 55044-9454
Phone: (920) 723-8420
Street-level locationGet directions
Mailing address
17746 Kenwood Trl
Lakeville, MN 55044-9454
Registry dates
- Enumerated
- 2023-02-20
- Last updated
- 2023-04-22
- Certified
- 2023-04-22
Frequently asked questions
- What is Lakeville Modern Dentistry, PLLC's NPI number?
- Lakeville Modern Dentistry, PLLC's National Provider Identifier (NPI) is 1992403919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeville Modern Dentistry, PLLC?
- Lakeville Modern Dentistry, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeville Modern Dentistry, PLLC located?
- Lakeville Modern Dentistry, PLLC's practice location on file with NPPES is 17746 Kenwood Trl, Lakeville, MN 55044-9454.
- What is Lakeville Modern Dentistry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeville Modern Dentistry, PLLC is (920) 723-8420.
- Who is the authorized official for Lakeville Modern Dentistry, PLLC?
- The authorized official listed on Lakeville Modern Dentistry, PLLC's NPPES record is Eric Bender, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeville Modern Dentistry, PLLC's NPI active?
- Yes — Lakeville Modern Dentistry, PLLC's NPI (1992403919) is active in the NPPES registry as of the last update on 2023-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.