Lino Lakes Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LINO LAKES FAMILY DENTISTRY

Practice address

591 Apollo Dr
Lino Lakes, MN 55014-3005

Phone

(651) 786-7630

NPI assigned

Apr 29, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heidi Jo Dulin, RDS

Title

Office Manager

Phone

(651) 786-7630

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Charyl Weingarten, D.D.S., P.L.L.C

  • General Practice Dentistry
  • Lino Lakes, MN
  • NPI 1356977136
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1124262514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 APOLLO DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550143005",
            "telephone_number": "651-786-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 APOLLO DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550143005",
            "telephone_number": "651-786-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINO LAKES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "DULIN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-786-7630",
        "authorized_official_credential": "RDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lasch, LCMT
• Douglas J Latuseck, PSYD, LP
• Payton Christine Le, LMFT
• Pamela Lynn Lenz, CCC-SLP
• Rachael Lick
• Lino Lakes GW, LLC
• Luxottica of America Inc.
• Jennifer Kay Massa, D.C.
• Jessica McAlpine, APRN, CNP
• Kelsey McLaughlin, LMFT

• General Practice Dentistry in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.