Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
LAKEVILLE MODERN DENTISTRY, PLLC
Active
Organization
LAKEVILLE MODERN DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC M BENDER DMD (PRESIDENT)
(920) 723-8420
Entity
Organization
Contact information
Practice address
17746 KENWOOD TRL, LAKEVILLE, MN 55044-9454
(920) 723-8420
Mailing address
17746 KENWOOD TRL, LAKEVILLE, MN 55044-9454
(952) 388-1778
(952) 388-1763
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194394288
NPI TYPE I
—
Enumeration date
02/20/2023
Last updated
04/22/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up