Chicago Lake Dental is a Dental Clinic in Minneapolis, Minnesota. It is located at 2900 Chicago Ave, Minneapolis, MN and its contact number is 612-823-2080. The authorized person for Chicago Lake Dental is Dr. David William Johnson Jr.
who is Owner of the clinic and their contact number is 612-823-2080. The primary license number for Chicago Lake Dental is D9512 (General Practice) in Minnesota.
Chicago Lake Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Chicago Lake Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Chicago Lake Dental |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 2900 Chicago Ave, Minneapolis,
Minnesota, 55407-1322 |
| Phone: | 612-823-2080 |
| Fax: | 612-823-5777 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. David William Johnson Jr. |
| Position: | Owner |
| Contact Number: | 612-823-2080 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Chicago Lake Dental clinic are as mentioned below.
| NPI Number: | 1497936389 |
| NPI Enumeration Date: | 19 Nov, 2007 |
| NPI Last Update On: | 19 Nov, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Chicago Lake Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | D9512 | Minnesota | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Chicago Lake Dental
2900 Chicago Ave,
Minneapolis, Minnesota |
| Zip: | 55407-1322 |
| Phone Number: | 612-823-2080 |
| Fax Number: | 612-823-5777 |
Patients can reach Chicago Lake Dental at
2900 Chicago Ave, Minneapolis, Minnesota or can
call to book an appointment on 612-823-2080.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.