Mahtomedi Dental P.c. is a Dental Clinic in Lake Elmo, Minnesota. It is located at 12425 55th St N, Lake Elmo, MN and its contact number is 651-430-1020. The authorized person for Mahtomedi Dental P.c. is Laurie L Stodola
who is Owner/dentist of the clinic and their contact number is 651-430-1020. Other organizations associated with this clinic are Valley Ridge Dental, Llc, Mahtomedi Dental P.c., The primary license number for Mahtomedi Dental P.c. is 11396 (Dentist) in Minnesota.
Mahtomedi Dental P.c. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Mahtomedi Dental P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mahtomedi Dental P.c. |
| Specialization: | Dentistry |
| Clinic Address: | 12425 55th St N, Lake Elmo,
Minnesota, 55042-7403 |
| Phone: | 651-430-1020 |
| Fax: | 651-439-2201 |
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: | Laurie L Stodola |
| Position: | Owner/dentist |
| Contact Number: | 651-430-1020 |
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 Mahtomedi Dental P.c. clinic are as mentioned below.
| NPI Number: | 1275969263 |
| NPI Enumeration Date: | 23 Sep, 2013 |
| NPI Last Update On: | 23 Sep, 2013 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Valley Ridge Dental, Llc | General Practice Dentistry | 1265644926 |
| Mahtomedi Dental P.c. | Dentistry | 1275969263 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mahtomedi Dental P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 11396 | 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: | Mahtomedi Dental P.c.
12425 55th St N,
Lake Elmo, Minnesota |
| Zip: | 55042-7403 |
| Phone Number: | 651-430-1020 |
| Fax Number: | 651-439-2201 |
Patients can reach Mahtomedi Dental P.c. at
12425 55th St N, Lake Elmo, Minnesota or can
call to book an appointment on 651-430-1020.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.