Moore Lake Dental is a Dental Clinic in Fridley, Minnesota. It is located at 6230 Highway 65 Ne, Suite 105, Fridley, MN and its contact number is 763-571-5497. The authorized person for Moore Lake Dental is Dr. Lisa Murray Perez
who is Owner of the clinic and their contact number is 612-414-2182. The primary license number for Moore Lake Dental is D10520 (Dentist) in Minnesota.
Moore Lake Dental 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:
Moore 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: | Moore Lake Dental |
| Specialization: | Dentistry |
| Clinic Address: | 6230 Highway 65 Ne, Suite 105, Fridley,
Minnesota, 55432-5107 |
| Phone: | 763-571-5497 |
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. Lisa Murray Perez |
| Position: | Owner |
| Contact Number: | 612-414-2182 |
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 Moore Lake Dental clinic are as mentioned below.
| NPI Number: | 1386035590 |
| NPI Enumeration Date: | 10 Feb, 2015 |
| NPI Last Update On: | 10 Feb, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Moore Lake Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | D10520 | 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: | Moore Lake Dental
6230 Highway 65 Ne, Suite 105
Fridley, Minnesota |
| Zip: | 55432-5107 |
| Phone Number: | 763-571-5497 |
Patients can reach Moore Lake Dental at
6230 Highway 65 Ne, Suite 105, Fridley, Minnesota or can
call to book an appointment on 763-571-5497.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.