Big Lake Dental, Pa is a Dental Clinic in Big Lake, Minnesota. It is located at 16991 198th Avenue Nw, Big Lake, MN and its contact number is 763-263-6350. The authorized person for Big Lake Dental, Pa is Dr. Roger J Bromaghim
who is Owner of the clinic and their contact number is 763-263-6350. The primary license number for Big Lake Dental, Pa is D9355 (General Practice) in Minnesota.
Big Lake Dental, Pa 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:
Big Lake 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: | Big Lake Dental, Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 16991 198th Avenue Nw, Big Lake,
Minnesota, 55309-0249 |
| Phone: | 763-263-6350 |
| Fax: | 763-263-0136 |
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. Roger J Bromaghim |
| Position: | Owner |
| Contact Number: | 763-263-6350 |
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 Big Lake Dental, Pa clinic are as mentioned below.
| NPI Number: | 1518141548 |
| NPI Enumeration Date: | 27 Dec, 2007 |
| NPI Last Update On: | 27 Dec, 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 Big Lake Dental, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | D9355 | 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: | Big Lake Dental, Pa
Po Box 249,
Big Lake, Minnesota |
| Zip: | 55309-0249 |
| Phone Number: | 763-263-6350 |
| Fax Number: | 763-263-0136 |
Patients can reach Big Lake Dental, Pa at
16991 198th Avenue Nw, Big Lake, Minnesota or can
call to book an appointment on 763-263-6350.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.