LONG LAKE FAMILY DENISTRY – General Practice Dentistry, NPI 1134574163

LONG LAKE FAMILY DENISTRY is a healthcare provider. based in New brighton, Minnesota. specializing in General Practice Dentistry. The organization holds a License No. D13480 (MN). The NPI Number for LONG LAKE FAMILY DENISTRY is 1134574163

Main info

Organization
Name
LONG LAKE FAMILY DENISTRY
NPI
1134574163
Phone
(651) 633-1311
Address
991 9TH AVE NW
Authorized Official
DR. HOSSEIN A JALALI OWNER DDS
Enumeration Date
27 April 2016
Last Update Date
27 April 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:10State licenses:3Digital endpointsOther names

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Provider Addresses for LONG LAKE FAMILY DENISTRY

  • 991, 9th Avenue Northwest, New Brighton, Ramsey County, Minnesota, 55112, United States

    NEW BRIGHTON, MN 551122665

    Phone: (651) 633-1311

    Fax: (651) 633-4339

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55112)

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Reviews

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Frequently asked questions

How do payers reference LONG LAKE FAMILY DENISTRY?
For LONG LAKE FAMILY DENISTRY, use NPI 1134574163 as the unique 10-digit identifier.
Is there an active status for LONG LAKE FAMILY DENISTRY?
For scheduling context, LONG LAKE FAMILY DENISTRY is shown as active in the registry.
What kind of doctor is LONG LAKE FAMILY DENISTRY?
LONG LAKE FAMILY DENISTRY is associated with General Practice Dentistry in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for LONG LAKE FAMILY DENISTRY?
Travel planning: use New Brighton, Minnesota as the reference point for LONG LAKE FAMILY DENISTRY, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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