Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Glen Lake Dental Associates, PA

Organization General Practice Dentistry · NPI 1003062084

Glen Lake Dental Associates, PA provides General Practice Dentistry in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14418 Excelsior Blvd
Minnetonka, MN 55345-5820 Not confirmed with CMS for 18 years — call before visiting
Phone: (952) 935-5212
Fax: (952) 935-1391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D9306 (MN)

Record details

NPI number1003062084
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kent Cassidy — President · (952) 935-5212
NPI enumeratedAugust 11, 2008
Last updated in NPPESAugust 11, 2008
Mailing address14418 Excelsior Blvd, Minnetonka, MN 55345-5820

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