Organization Active NPI

Dentists of Lino Lakes, PC

  • General Practice Dentistry
  • Lino Lakes, MN
National Provider Identifier
1417881707
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTISTS OF LINO LAKES, PC
Doing business as
Dentists of Lino Lakes
Practice address
7705 Lake Dr
Lino Lakes, MN 55014-1109
Phone
(651) 727-8101
Fax
(952) 955-4501
NPI assigned
Jun 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Theodore Ernste, DDS
Title
Owner
Phone
(651) 727-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7705 Lake Dr
Lino Lakes, MN 55014-1109

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890

Other names 1

  • Dentists of Lino Lakes Doing business as

National Provider Directory

National Provider Directory

Locations

7705 Lake Dr
Lino Lakes, MN 55014

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1417881707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7705 LAKE DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141109",
            "telephone_number": "651-727-8101",
            "fax_number": "952-955-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF LINO LAKES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "ERNSTE",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-727-8101",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Lino Lakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lino Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.