Lake Street Family Dental Pa is a Dental Clinic in Mora, Minnesota. It is located at 119 Lake St S, Suite 1, Mora, MN and its contact number is 320-679-2435. The authorized person for Lake Street Family Dental Pa is Dr. Steven Nelson Holcombe
who is President of the clinic and their contact number is 763-350-6234. Other organizations associated with this clinic are Lake Street Family Dental Pa, Dr. James Knutson, The primary license number for Lake Street Family Dental Pa is D13567 (Dentist) in Minnesota. Lake Street Family Dental Pa 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:
Lake Street Family Dental Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lake Street Family Dental Pa
Specialization:
Dentistry
Clinic Address:
119 Lake St S, Suite 1, Mora, Minnesota, 55051-1576
Phone:
320-679-2435
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. Steven Nelson Holcombe
Position:
President
Contact Number:
763-350-6234
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 Lake Street Family Dental Pa clinic are as mentioned below.
NPI Number:
1083096085
NPI Enumeration Date:
25 Jun, 2015
NPI Last Update On:
25 Jun, 2015
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
Lake Street Family Dental Pa
Dentistry
1083096085
Dr. James Knutson
Dentistry
1487095220
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Street Family Dental Pa are as mentioned below.
Specialization
License Number
State
Status
Dentist
D13567
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:
Lake Street Family Dental Pa 10799 251st Ave Nw, Zimmerman, Minnesota
Zip:
55398-4558
Phone Number:
763-350-6234
Patients can reach Lake Street Family Dental Pa at 119 Lake St S, Suite 1, Mora, Minnesota or can call to book an appointment on 320-679-2435. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.