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

Prairie Lakes Family Dentistry

Organization General Practice Dentistry · NPI 1780453589

Prairie Lakes Family Dentistry provides General Practice Dentistry in Tracy, Minnesota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

212 3rd St
Tracy, MN 56175-1214
Phone: (507) 212-0002
Fax: (507) 212-0020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1780453589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Heezen — Owner/Dentist · (507) 212-0002
Other names Prairie Lakes Family Dentistry
NPI enumeratedDecember 21, 2023
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing addressPo Box 1174, Tracy, MN 56175-0174

Other providers in Tracy