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

Willmar Family Dentistry, PA

Organization General Practice Dentistry · NPI 1376615450

Willmar Family Dentistry, PA provides General Practice Dentistry in Willmar, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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
Phone: (320) 235-2010
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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 D9800 (MN)

Record details

NPI number1376615450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Jorgenson — C.E.O. · (320) 235-2010
NPI enumeratedNovember 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1016 1st St S, Willmar, MN 56201-3510

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