Round Lake Dental P.a.
Pediatric Dental Clinic
13841 Round Lake Blvd Nw, Andover
Minnesota, 55304-3664
763-427-0285 763-576-0156
Maps & DirectionsRound Lake Dental P.a. is a Pediatric Dental Clinic in Andover, Minnesota. It is located at 13841 Round Lake Blvd Nw, Andover, MN and its contact number is 763-427-0285. The authorized person for Round Lake Dental P.a. is Mr. Thomas Richard Swenson
who is President of the clinic and their contact number is 763-427-0285. The primary license number for Round Lake Dental P.a. is D10339 (Pediatric Dentistry) in Minnesota.
Round Lake Dental P.a. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Round Lake Dental P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Round Lake Dental P.a. |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 13841 Round Lake Blvd Nw, Andover,
Minnesota, 55304-3664 |
| Phone: | 763-427-0285 |
| Fax: | 763-576-0156 |
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: | Mr. Thomas Richard Swenson |
| Position: | President |
| Contact Number: | 763-427-0285 |
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 Round Lake Dental P.a. clinic are as mentioned below.
| NPI Number: | 1376676445 |
| NPI Enumeration Date: | 14 Mar, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Round Lake Dental P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | D10339 | 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: | Round Lake Dental P.a.
13841 Round Lake Blvd Nw,
Andover, Minnesota |
| Zip: | 55304-3664 |
| Phone Number: | 763-427-0285 |
| Fax Number: | 763-576-0156 |
Patients can reach Round Lake Dental P.a. at
13841 Round Lake Blvd Nw, Andover, Minnesota or can
call to book an appointment on 763-427-0285.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.