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GLEN LAKE DENTAL
NPI 1376386607
Clinic/Center - Dental in Minnetonka, MN

Active since June 14, 2024
14421 EXCELSIOR BLVD, MINNETONKA, MN 55345(952) 935-5212(952) 935-1391 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glen Lake Dental NPPES

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

GLEN LAKE DENTAL (NPI 1376386607) is a healthcare organization registered as a dental in Minnetonka, Minnesota and active in the NPI registry since June 2024. The organization lists Kristy Taran, Dentist, as its authorized official.

NPPES Registry Identity

NPI1376386607
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGLEN LAKE DENTAL
Location Address14421 EXCELSIOR BLVDMinnetonka, MN 55345-5821
Mailing Address14421 Excelsior BlvdMinnetonka, MN 55345-5821 · (952) 935-5212 · Fax (952) 935-1391
Phone(952) 935-5212
Fax(952) 935-1391
Organization SubpartNo
Authorized OfficialKristy TaranDentist · (952) 935-5212
Enumeration DateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1376386607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
14421 EXCELSIOR BLVD, Minnetonka, MN 55345
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Other Providers at the Same Location NPPES

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

KRISTY LYNN TARAN D.D.S.
Dentist (General Practice)
14421 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's NPI number?

The NPI number for Glen Lake Dental is 1376386607. It was assigned to this organization in the NPPES registry on June 14, 2024.

Where is Glen Lake Dental located?

Glen Lake Dental is located at 14421 Excelsior Blvd, Minnetonka, MN 55345. The listed phone number is (952) 935-5212.

What is Glen Lake Dental'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 Glen Lake Dental was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.