Healthcare Provider Details

I. General information

NPI: 1508759432
Provider Name (Legal Business Name): LAURA ELIZABETH TIMM VOORHEES DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 W OLD SHAKOPEE RD STE 100
BLOOMINGTON MN
55437-2976
US

IV. Provider business mailing address

725 WILDFLOWER LN
CHANHASSEN MN
55317-3523
US

V. Phone/Fax

Practice location:
  • Phone: 952-831-6126
  • Fax:
Mailing address:
  • Phone: 320-815-3087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD15289
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: