Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northern Lakes Dental, Ltd

Organization General Practice Dentistry · NPI 1003035775

Northern Lakes Dental, Ltd provides General Practice Dentistry in Fergus Falls, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1108 Western Ave
Fergus Falls, MN 56537-4808
Phone: (218) 736-4000
Fax: (218) 736-0766
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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 10677 (MN)

Record details

NPI number1003035775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Wagnild — President · (218) 736-4000
NPI enumeratedApril 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1108 Western Ave, Fergus Falls, MN 56537-4808

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