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Mahtomedi Dental P.C.

Dentist in Lake Elmo, MN · enumerated 2013 · authorized official Laurie Stodola, Owner/Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275969263

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Registry record

Entity type Organization (Type 2)
Legal business name Mahtomedi Dental P.C.
Other name <Unavail>
Practice address 12425 55th St N, Lake Elmo, MN, 55042
Phone (651) 430-1020
Fax (651) 439-2201
Enumeration date Sep 23, 2013
Last updated in NPPES Sep 23, 2013

Taxonomy & classification

122300000X Dentist Dental Providers · License 11396 (MN) Primary

Authorized official

Name Laurie Stodola
Title Owner/Dentist
Phone (651) 430-1020

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-09-23. Verify at npiregistry.cms.hhs.gov.
Where is Mahtomedi Dental P.C. located?
The practice location on file with NPPES is in Lake Elmo, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-23.