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NORTHERN LAKES DENTAL, LTD.
NPI 1003035775
Dentist - General Practice in Fergus Falls, MN

Active since April 24, 2007
1108 WESTERN AVE, FERGUS FALLS, MN 56537(218) 736-4000(218) 736-0766 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northern Lakes Dental, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN LAKES DENTAL, LTD. (NPI 1003035775) is a healthcare organization registered as a general practice in Fergus Falls, Minnesota and active in the NPI registry since April 2007. The organization lists Scott Alan Wagnild, President, as its authorized official.

NPPES Registry Identity

NPI1003035775
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHERN LAKES DENTAL, LTD.
Location Address1108 WESTERN AVEFergus Falls, MN 56537-4808
Mailing Address1108 Western AveFergus Falls, MN 56537-4808 · (218) 736-4000 · Fax (218) 736-0766
Phone(218) 736-4000
Fax(218) 736-0766
Organization SubpartNo
Authorized OfficialScott Alan WagnildPresident · (218) 736-4000
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003035775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 10677
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1108 WESTERN AVE, Fergus Falls, MN 56537
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT WAGNILD DDS,LLC
Clinic/Center (Dental)
1108 WESTERN AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-4000
SCOTT ALLAN WAGNILD DDS
Dentist
1108 WESTERN AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-4000
KELLY I SCHROEDER DDS
Clinic/Center (Dental)
1108 WESTERN AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-4000
KELLY IRENE SCHROEDER DDS
Dentist
1108 WESTERN AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Lakes Dental, Ltd.'s NPI number?

The NPI number for Northern Lakes Dental, Ltd. is 1003035775. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Northern Lakes Dental, Ltd. located?

Northern Lakes Dental, Ltd. is located at 1108 Western Ave, Fergus Falls, MN 56537. The listed phone number is (218) 736-4000.

What is Northern Lakes Dental, Ltd.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Northern Lakes Dental, Ltd. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.