Lakeside Family Dentistry

LBN: Water'S Edge Dental
Lakeside Family Dentistry is an health care organization with primary practice located at 1880 W Wayzata Blvd , Long Lake MN 55356-9491. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Water'S Edge Dental can be contacted via phone (952) 475-0989, or through Giebenhain, Michael E. via phone (952) 475-0989.

Contact Information

Primary practice address
1880 W Wayzata Blvd Long Lake MN 55356-9491
Phone: (952) 475-0989
Fax: (952) 475-2053
Website:
Map and Directions
Authorized official contact:
Name: Giebenhain, Michael E. Doctor of Dental Surgery (DDS)
Phone: (952) 475-0989

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1790146587
LBN Legal business name Water'S Edge Dental
DBA Doing business as Lakeside Family Dentistry
Authorized official Giebenhain, Michael E. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2016
Last updated Mar 8th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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