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INTERLACHEN DENTAL ASSOCIATES
NPI 1174600621
Dentist - General Practice in Edina, MN

Active since November 01, 2006
5101 VERNON AVENUE, SUITE 1B, EDINA, MN 55436(952) 920-9579(952) 920-9298 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Interlachen Dental Associates NPPES

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

INTERLACHEN DENTAL ASSOCIATES (NPI 1174600621) is a healthcare organization registered as a general practice in Edina, Minnesota and active in the NPI registry since November 2006. The organization lists Michael John Gitzen, President Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1174600621
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameINTERLACHEN DENTAL ASSOCIATES
Location Address5101 VERNON AVENUE, SUITE 1BEdina, MN 55436
Mailing Address5101 Vernon Avenue, Suite 1bEdina, MN 55436 · (952) 920-9579 · Fax (952) 920-9298
Phone(952) 920-9579
Fax(952) 920-9298
Organization SubpartNo
Authorized OfficialMichael John GitzenPresident Owner Doctor · (952) 920-9579
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 12, 2012
✔ NPI 1174600621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
5101 VERNON AVENUE, Edina, MN 55436
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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. ANDRES HUMBERTO RODRIGUEZ DDS
Dentist (Prosthodontics)
5101 VERNON AVENUE, SUITE 1B
EDINA, MN 55436
Hennepin County (952) 920-9579
DR. MICHAEL JOHN GITZEN DDS
Dentist
5101 VERNON AVENUE, SUITE 1B
EDINA, MN 55436
Hennepin County (952) 920-9579

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 Interlachen Dental Associates's NPI number?

The NPI number for Interlachen Dental Associates is 1174600621. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Interlachen Dental Associates located?

Interlachen Dental Associates is located at 5101 Vernon Avenue Suite 1B, Edina, MN 55436. The listed phone number is (952) 920-9579.

What is Interlachen Dental Associates'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 Interlachen Dental Associates was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.