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WILLMAR FAMILY DENTISTRY, P.A.
NPI 1205204674
Dentist in Willmar, MN

Active since September 02, 2015
1016 1ST ST S, WILLMAR, MN 56201(320) 235-2010(320) 235-7133 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willmar Family Dentistry, P.a. NPPES

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

WILLMAR FAMILY DENTISTRY, P.A. (NPI 1205204674) is a healthcare organization registered as a dentist in Willmar, Minnesota and active in the NPI registry since September 2015. The organization lists Peter Jorgenson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1205204674
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWILLMAR FAMILY DENTISTRY, P.A.
Location Address1016 1ST ST SWillmar, MN 56201-3510
Mailing Address1016 1st St SWillmar, MN 56201-3510 · (320) 235-2010 · Fax (320) 235-7133
Phone(320) 235-2010
Fax(320) 235-7133
Organization SubpartNo
Authorized OfficialPeter JorgensonDentist · (320) 235-2010
Enumeration DateSeptember 2, 2015
✔ NPI 1205204674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · 9800
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDental TherapistTaxonomy 125J00000X · License DT54 (MN)
1016 1ST ST S, Willmar, MN 56201
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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 MULTIPLE 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.

DR. PETER M JORGENSON D.D.S.
Dentist (General Practice)
1016 1ST ST S
WILLMAR, MN 56201
Kandiyohi County (320) 235-2010
WILLMAR FAMILY DENTISTRY, PA
Dentist (General Practice)
1016 1ST ST S
WILLMAR, MN 56201
Kandiyohi County (320) 235-2010
MR. ISAAC ROBERT MEREDITH DT
Dental Therapist
1016 1ST ST S
WILLMAR, MN 56201
Kandiyohi County (320) 235-2010
TRENT JOHN NEISEN DDS
Dentist (General Practice)
1016 1ST ST S
WILLMAR, MN 56201
Kandiyohi County (320) 235-2010

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 Willmar Family Dentistry, P.A.'s NPI number?

The NPI number for Willmar Family Dentistry, P.A. is 1205204674. It was assigned to this organization in the NPPES registry on September 2, 2015.

Where is Willmar Family Dentistry, P.A. located?

Willmar Family Dentistry, P.A. is located at 1016 1st St S, Willmar, MN 56201. The listed phone number is (320) 235-2010.

What is Willmar Family Dentistry, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Willmar Family Dentistry, P.A. was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.