GLACIAL LAKES DENTAL, PLLP
NPI 1184923096
Clinic/Center - Dental in Willmar, MN

Active since March 17, 2011
509 16TH AVE SW, WILLMAR, MN 56201(320) 235-7742(320) 235-4045 Get Directions Write a Review

NPPES record last updated: March 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glacial Lakes Dental, Pllp NPPES

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

GLACIAL LAKES DENTAL, PLLP (NPI 1184923096) is a healthcare organization registered as a dental in Willmar, Minnesota and active in the NPI registry since March 2011. The organization lists Dawn Renae Platt, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184923096
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGLACIAL LAKES DENTAL, PLLP
Location Address509 16TH AVE SWWillmar, MN 56201-4118
Mailing Address509 16th Ave SwWillmar, MN 56201-4118 · (320) 235-7742 · Fax (320) 235-4045
Fax(320) 235-4045
Organization SubpartNo
Authorized OfficialDawn Renae PlattOffice Manager · (320) 235-7742
Enumeration DateMarch 17, 2011
NPI 1184923096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
509 16TH AVE SW, Willmar, MN 56201

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
509 16TH AVE SW
WILLMAR, MN 56201
Dentist
509 16TH AVE SW
WILLMAR, MN 56201
Dentist (General Practice)
509 16TH AVE SW
WILLMAR, MN 56201

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 Glacial Lakes Dental, Pllp's NPI number?

The NPI number for Glacial Lakes Dental, Pllp is 1184923096. It was assigned to this organization in the NPPES registry on March 17, 2011.

Where is Glacial Lakes Dental, Pllp located?

Glacial Lakes Dental, Pllp is located at 509 16th Ave SW, Willmar, MN 56201. The listed phone number is (320) 235-7742.

What is Glacial Lakes Dental, Pllp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Glacial Lakes Dental, Pllp was last updated on March 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.