PRIOR LAKE NPI 1083131643

NPI Information

  • NPI: 1083131643
  • Provider Name: PRIOR LAKE
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 14120 COMMERCE AVE
    SUITE #300
    PRIOR LAKE, MN
    ZIP 55372
  • Phone: (952) 447-1080

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NPI Details

PRIOR LAKE is a dental clinic center in Prior Lake, MN. PRIOR LAKE NPI is 1083131643. The provider is registered as an organization entity type.

The provider's business location address is:

14120 COMMERCE AVE
SUITE #300
PRIOR LAKE, MN
ZIP 55372-537
Phone: (952) 447-1080
Fax: (952) 447-0376

The provider's authorized official is Steven Matthew Sarles .
The authorized official title is Doctor and has the following contact phone number (952) 447-1080.

The enumeration date for this NPI number is 8/24/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalD13230MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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