Lake County Dental Ltd
Lake County Dental Ltd is a healthcare organization registered as Dentist in Brainerd, MN, holding Type 2 (organization) NPI 1558361667 since 2005. The authorized official on file is Jeffrey Mattson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558361667 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lake County Dental Ltd |
| Practice address | 402 JAMES ST, Brainerd, MN, 56401 |
| Phone | 2188294243 |
| Fax | 2188258102 |
| Enumeration date | 2005-07-29 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Jeffrey Mattson |
|---|---|
| Title | Owner |
| Phone | 2188294243 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Secondary | MATTSON 10813 | MN |
| 122300000X | Dentist | Primary | MOEN 9531 | MN |
Copy-ready billing details
Provider: Lake County Dental Ltd NPI: 1558361667 Taxonomy: 122300000X (Dentist) Address: 402 JAMES ST, Brainerd, MN, 56401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629815659 | Hannah Andries | Individual | General Practice Dentistry | Brainerd, MN |
Verify this record
Cross-check NPI 1558361667 against the authoritative CMS record: view Lake County Dental Ltd on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Lake County Dental Ltd?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.