Lake Minnetonka Orthdontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7094 Issued in MN

Legal business name

LAKE MINNETONKA ORTHDONTICS

Practice address

11601 Minnetonka Mills Rd
Minnetonka, MN 55305-5161

Phone

(952) 938-1443

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Dawn J Renner, CPA

Title

Accountant

Phone

(952) 933-8444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700940343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 MINNETONKA MILLS RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 MINNETONKA MILLS RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055161",
            "telephone_number": "952-938-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MINNETONKA ORTHDONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "952-933-8444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "7094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel B Laden, MD
• Erika Ladwig, LPCC
• Antoinette Denise Lafrance, FNP-C
• Mary Watzka Lagaard, RN, CNP
• Lake Minnetonka Mobile Wellness, PA
• Lakeshore Pediatric Therapy, Inc.
• Lakeside Health Solutions
• Lakeside Health Solutions
• Hannah Lakmann
• Isabella Laleman

• Orthodontics and Dentofacial Orthopedics Dentistry in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.