Lindahl Family Dental PA

Primary specialty

DentistTaxonomy code 122300000X

License

11031 Issued in MN

Legal business name

LINDAHL FAMILY DENTAL PA

Practice address

1811 Weir Dr
Suite #265
Woodbury, MN 55125-2272

Phone

(651) 702-4200

Fax

(651) 702-0717

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Dean Lindahl, D.D.S.NPI 1528155462

Title

Dentist

Phone

(651) 702-4200

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Michael Dean Lindahl, D.D.S.

  • Dentist
  • Woodbury, MN
  • NPI 1528155462
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952446338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WEIR DR",
            "address_2": "SUITE #265",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252272",
            "telephone_number": "651-702-4200",
            "fax_number": "651-702-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 WEIR DR",
            "address_2": "SUITE #265",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252272",
            "telephone_number": "651-702-4200",
            "fax_number": "651-702-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDAHL FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDAHL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-702-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "11031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN PROVIDER #",
            "identifier": "10D80LI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS PROVIDER #",
            "identifier": "ZDB012",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA TRICARE",
            "identifier": "707828",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Kate Lieberson
• Louisa Lienke, MA, LMFT
• Lifeline Chiropractic , P.a.
• Lifestyle Physical Therapy, LLC
• Lifeworks Counseling Services, LLC
• Michael Dean Lindahl, D.D.S.
• Leslie Lindberg, LPCC
• Emily Linder, PT
• Norkhadijah Marie Lindgren
• Jenn Lindquist, LADC

• Dentist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Dentist 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.