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

Willmar Family Dentistry, PA

Organization Dentist · NPI 1205204674

Willmar Family Dentistry, PA provides Dentist services in Willmar, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
Specialties on file
2
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

1016 1st St S
Willmar, MN 56201-3510 Not confirmed with CMS for 11 years — call before visiting
Phone: (320) 235-2010
Fax: (320) 235-7133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9800 (MN)
Dental Therapist Taxonomy 125J00000X · Licence DT54 (MN)

Record details

NPI number1205204674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Jorgenson — Dentist · (320) 235-2010
NPI enumeratedSeptember 2, 2015
Last updated in NPPESSeptember 2, 2015
Mailing address1016 1st St S, Willmar, MN 56201-3510

Other providers in Willmar