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WILLMAR FAMILY DENTISTRY, PA
NPI 1376615450
Dentist - General Practice in Willmar, MN

Active since November 14, 2006
1016 1ST ST S, WILLMAR, MN 56201(320) 235-2010 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willmar Family Dentistry, Pa NPPES

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

WILLMAR FAMILY DENTISTRY, PA (NPI 1376615450) is a healthcare organization registered as a general practice in Willmar, Minnesota and active in the NPI registry since November 2006. The organization lists Peter M Jorgenson, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1376615450
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILLMAR FAMILY DENTISTRY, PA
Location Address1016 1ST ST SWillmar, MN 56201-3510
Mailing Address1016 1st St SWillmar, MN 56201-3510 · (320) 235-2010
Phone(320) 235-2010
Organization SubpartNo
Authorized OfficialPeter M JorgensonC.e.o. · (320) 235-2010
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376615450 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 · D9800
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.
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 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.

WILLMAR FAMILY DENTISTRY, P.A.
Dentist
1016 1ST ST S
WILLMAR, MN 56201
Kandiyohi County (320) 235-2010
DR. PETER M JORGENSON D.D.S.
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, PA's NPI number?

The NPI number for Willmar Family Dentistry, PA is 1376615450. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Willmar Family Dentistry, PA located?

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

What is Willmar Family Dentistry, PA'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 Willmar Family Dentistry, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.