Organization Active NPI

Lentz Dental PLLC

Doing business as Minneota Family Dental

  • Dental Clinic/Center
  • Minneota, MN
National Provider Identifier
1497338990
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Dr. Alexandra Christine Lentz, DDSNPI 1487210134
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D14217OtherMNMN STATE DENTAL LICENSE

Other names 1

  • Minneota Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.