Active NPI
Lentz Dental PLLC
Doing business as Minneota Family Dental
- Dental Clinic/Center
- Minneota, MN
National Provider Identifier
1497338990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LENTZ DENTAL PLLC
- Doing business as
- Minneota Family Dental
- Practice address
- 102 E 1St St
Minneota, MN 56264-9637 - Phone
- (507) 872-6403
- Fax
- (507) 872-6961
- NPI assigned
- May 3, 2021
- Last updated
- May 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexandra Christine Lentz, DDS
- Title
- Owner
- Phone
- (612) 309-8448
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
102 E 1St St
Minneota, MN 56264-9637
Mailing address
102 E 1St St
Minneota, MN 56264-9637
Phone (507) 872-6403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D14217 | Other | MN | MN STATE DENTAL LICENSE |
Other names 1
- Minneota Family Dental
National Provider Directory
National Provider DirectoryLocations
102 E 1st St
Minneota, MN 56264
Phone (507) 872-6403
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Ramsey, MN
- NPI 1487210134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620000000000",
"number": "1497338990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E 1ST ST",
"city": "MINNEOTA",
"state": "MN",
"postal_code": "562649637",
"telephone_number": "507-872-6403",
"fax_number": "507-872-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E 1ST ST",
"city": "MINNEOTA",
"state": "MN",
"postal_code": "562649637",
"telephone_number": "507-872-6403",
"fax_number": "507-872-6961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENTZ DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A",
"authorized_official_last_name": "LENTZ",
"authorized_official_first_name": "ALEXANDRA",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-309-8448",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN STATE DENTAL LICENSE",
"identifier": "D14217",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Minneota Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneota, MN
- Lisa Hennen, PT
- Paul Howard Hougan, PHYSICAL THERAPIST
- Susan R Jacobson
- Ryan David Landberg, PT
- Alyssa Rose Lecy, DOT
- Living Services Foundation/Minneota, LLC (Minneota Manor Health Care Center)
- Living Services Foundation/Minneota, LLC (Town & Country Home Health Care)
- Minneota Public School
- Minneota Residential Services Limited Partnership
- Heather Dawn Murphy, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.