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GLEN LAKE DENTAL ASSOCIATES, P.A.
NPI 1003062084
Dentist - General Practice in Minnetonka, MN

Active since August 11, 2008
14418 EXCELSIOR BLVD, MINNETONKA, MN 55345(952) 935-5212(952) 935-1391 Get Directions Write a Review

NPPES record last updated: August 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen Lake Dental Associates, P.a. NPPES

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

GLEN LAKE DENTAL ASSOCIATES, P.A. (NPI 1003062084) is a healthcare organization registered as a general practice in Minnetonka, Minnesota and active in the NPI registry since August 2008. The organization lists Kent Cassidy, President, as its authorized official.

NPPES Registry Identity

NPI1003062084
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGLEN LAKE DENTAL ASSOCIATES, P.A.
Location Address14418 EXCELSIOR BLVDMinnetonka, MN 55345-5820
Mailing Address14418 Excelsior BlvdMinnetonka, MN 55345-5820 · (952) 935-5212 · Fax (952) 935-1391
Phone(952) 935-5212
Fax(952) 935-1391
Organization SubpartNo
Authorized OfficialKent CassidyPresident · (952) 935-5212
Enumeration DateAugust 11, 2008
✔ NPI 1003062084 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 · D9306
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.
14418 EXCELSIOR BLVD, Minnetonka, MN 55345
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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 2

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

DR. KENT EDWARD CASSIDY D.D.S.
Dentist
14418 EXCELSIOR BLVD
MINNETONKA, MN 55345
Hennepin County (952) 935-5212
MARY OWEN D.D.S.
Dentist (General Practice)
14418 EXCELSIOR BLVD
MINNETONKA, MN 55345
Hennepin County (952) 935-5212

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 Glen Lake Dental Associates, P.A.'s NPI number?

The NPI number for Glen Lake Dental Associates, P.A. is 1003062084. It was assigned to this organization in the NPPES registry on August 11, 2008.

Where is Glen Lake Dental Associates, P.A. located?

Glen Lake Dental Associates, P.A. is located at 14418 Excelsior Blvd, Minnetonka, MN 55345. The listed phone number is (952) 935-5212.

What is Glen Lake Dental Associates, P.A.'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 Glen Lake Dental Associates, P.A. was last updated on August 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.