Five Lakes Dental Studio LLC
NPI 1497680656ActiveOrganization· Dental Laboratory· Fairmont, MN
Dental Laboratory in Fairmont, Minnesota, registered in NPPES in June 2026. The authorized official on file is Jeremy Joseph Stauffer, CDT, Owner/Ceramist.
Overview
| NPI | 1497680656 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2026 |
| Last updated in NPPES | Jun 17, 2026 |
| Certified by provider | Jun 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Laboratory Primary | 292200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|