Glen Lake Dental Associates, P.A. in Minnetonka - General Practice
Glen Lake Dental Associates, P.A. - NPI 1003062084
Glen Lake Dental Associates, P.A. is a General Practice in Minnetonka, Minnesota. Glen Lake Dental Associates, P.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glen Lake Dental Associates, P.A. is 1003062084. The last update date is 2008-08-11.
Glen Lake Dental Associates, P.A.'s current location address is 14418 Excelsior Blvd, Minnetonka, Minnesota. You can contact this provider via phone number 9529355212 and fax number 9529351391. The mailing address for Glen Lake Dental Associates, P.A. is 14418 Excelsior Blvd, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glen Lake Dental Associates, P.A. |
|---|---|
| Address | 14418 Excelsior Blvd, Minnetonka, Minnesota |
| Phone Number | 9529355212 |
| Fax Number | 9529351391 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cassidy Kent |
| Credentials | D.D.S. |
| Telephone Number | 9529355212 |
NPI Number Detail
| NPI Number | 1003062084 |
|---|---|
| Provider Enumeration Date | 2008-08-11 |
| Last Updated Date | 2008-08-11 |
Provider Mailing Address Detail
| Address | 14418 Excelsior Blvd |
|---|---|
| City | Minnetonka |
| State | Minnesota (MN) |
| Post Code | 553455820 |
| Phone Number | 9529355212 |
| Fax Number | 9529351391 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D9306 |
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Definition: 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. |
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Post Comment/ Review Below
What is the unique identifier code issued to Glen Lake Dental Associates, P.A. by the Centers for Medicare & Medicaid Services (CMS)?
The Glen Lake Dental Associates, P.A. has been assigned the NPI (National Provider Identifier) 1003062084. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Glen Lake Dental Associates, P.A. is located?
The Glen Lake Dental Associates, P.A. is situated at the following address: 14418 Excelsior Blvd, Minnetonka, MN, 553455820.
What is the Glen Lake Dental Associates, P.A.'s area of specialization and corresponding taxonomy classification?
The Glen Lake Dental Associates, P.A.'s specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1003062084 to Glen Lake Dental Associates, P.A.?
The Centers for Medicare & Medicaid Services assigned the 1003062084 to Glen Lake Dental Associates, P.A. on 2008-08-11.
As of what date were the details related to Glen Lake Dental Associates, P.A. most recently updated or revised?
The information pertaining to Glen Lake Dental Associates, P.A., including its address, specialty, and other relevant details, was last updated or revised on 2008-08-11.
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