Eagle Lake Family Dentistry, PA
Eagle Lake Family Dentistry, PA provides Dentist services in Saint James, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.
- Licensed in
- MN
- In the registry since
- 2011
- Specialties on file
- 3
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
504 2nd Ave SSaint James, MN 56081-1737 Not confirmed with CMS for 15 years — call before visiting
Phone: (507) 375-4611
Fax: (507) 375-4989
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D9088 (MN) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence D11770 (MN) |
| Dentist | Taxonomy 122300000X · Licence D12980 (MN) |
Record details
| NPI number | 1689952038 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Eagle Lake Family Dentistry, PA |
| Authorized official | Sean Vostad — Dentist · (507) 257-3800 |
| Other names | St. James Family Dentistry |
| NPI enumerated | August 2, 2011 |
| Last updated in NPPES | August 2, 2011 |
| Mailing address | 504 2nd Ave S, Po Box 515, Saint James, MN 56081-1737 |