NPI 1497680656

Five Lakes Dental Studio LLC

Organisation Dental Laboratory Fairmont, MN

Practice location

Address: 31 Downtown Plz, Fairmont, MN 56031-1702
Phone: (507) 235-9040

Authorised official

Name: Jeremy Joseph Stauffer
Title: Owner/Ceramist
Phone: (507) 235-9040

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X

Other Dental Laboratory providers in Minnesota →

Registry record

NPI: 1497680656
Entity type: Organization
NPI issued: 17 Jun 2026
Record last updated: 17 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.