Glen Lake Family Dentistry PLLC
Glen Lake Family Dentistry PLLC provides General Practice Dentistry in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5509 Eden Prairie RdMinnetonka, MN 55345-5839 Not confirmed with CMS for 16 years — call before visiting
Phone: (952) 938-6038
Fax: (952) 935-9175
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
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D11282/D10240 (MN) |
|---|
Record details
| NPI number | 1740215656 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Olson — Dentist · (952) 938-6038 |
| Other names | None |
| NPI enumerated | July 11, 2006 |
| Last updated in NPPES | October 21, 2009 |
| Mailing address | 5509 Eden Prairie Rd, Minnetonka, MN 55345-5839 |
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