Five Lakes Dental Studio LLC
Organization Active NPI Dental Laboratory · Fairmont, MN
NPI 1497680656 · NPPES record last updated Jun 17, 2026
Key facts
- NPI
- 1497680656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Laboratory 292200000X
- Legal business name
- FIVE LAKES DENTAL STUDIO LLC
- Practice address
- 31 Downtown PLZ
Fairmont, MN 56031-1702 - Phone
- (507) 235-9040
- NPI assigned
- Jun 17, 2026
- Organization subpart
- No
Authorized official
- Name
- Jeremy Joseph Stauffer, CDT
- Title
- Owner/Ceramist
- Phone
- (507) 235-9040
National Provider Directory
Locations
31 Downtown Plz
Fairmont, MN 56031
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Laboratory | 292200000X | Yes |
Addresses
Primary practice location
31 Downtown PLZ
Fairmont, MN 56031-1702
Mailing address
31 Downtown PLZ
Fairmont, MN 56031-1702
Phone (507) 235-9040
Other providers in Fairmont, MN
- Fairmont Orthopedics & Sports Medicine P a
- Fairmont Orthopedics & Sports Medicine, PA
- Fairmont Orthopedics & Sports Medicine, PA
- Samantha Augusta Farnum
- Robert Fernandez
- Daniel Jeffrey Fordice
- Jeffrey Howard Fordice
- Taylor Forstner
- Amanda J Forstrom
- Robert Friese
All providers in Fairmont, MN · Dental Laboratory in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.