Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CITY OF LAKES DENTAL, P.A.
Active
Organization
CITY OF LAKES DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT WILLIAM SCHULTE D.D.S. (PRESIDENT)
(612) 823-1816
Entity
Organization
Contact information
Practice address
5524 NICOLLET AVE, MINNEAPOLIS, MN 55419-1930
(612) 823-1816
(612) 823-5955
Mailing address
5524 NICOLLET AVE, MINNEAPOLIS, MN 55419-1930
(612) 823-1816
(612) 823-5955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8428
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40 06726
BLUE
MN
Enumeration date
11/20/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers