Active NPI 1639242993 Individual Practitioner Male Practitioner

Dr. Anthony Walter Boe , DDS

Dentist - General Practice • Long Lake, MN

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Boe, DDS is a registered healthcare professional specializing in Dentist - General Practice in Long Lake, MN. Practice services are available at 1880 W WAYZATA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1880 W Wayzata Blvd

Long Lake, MN 553569491

Telephone 9524750989

Fax 9524752053

Associated Practice Facility / Clinic

🏢 Water's Edge Dental Facility NPI 1790146587

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Long Lake, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 33.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Long Lake, MN (2262 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D8481

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield Id

91D71B0 (MN)

Commercial Insurance / Payer ID Mn Board Of Dentistry #

D8481 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Stephanie Drake , DDS

Dentist

NPI 1992153928

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1880 W WAYZATA BLVD, LONG LAKE, MN 553569491 (Tel: 9524750989)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1880 W WAYZATA BLVD, P O BOX 128, LONG LAKE, MN 553569491 (Tel: 9524750989)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ANTHONY BOE, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D8481 in MN)

🟢

Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639242993

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 16, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1880 W Wayzata Blvd, P O Box 128

Long Lake, MN 553569491

Phone: 9524750989

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.