NPI
Warroad Family Dentistry, LTD
Doing business as Lake Family Dental. NPI 1497745400
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-10-21
- Last updated
- 2020-08-22
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Specialties
Licenses
- License MN
- 9514
Location
- Practice location
- 307 South State Ave
- City
- Warroad MN
- Postal code
- 56763-0490
- Phone
- (218) 386-1048
Organization contact
- Name
- Kathy Thiele
- Title
- Corporate Secretary
- Phone
- (218) 386-1048
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Warroad, MN. 36 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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