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WILLOW GROVE FAMILY DENTAL
NPI 1417399965
Dentist - General Practice in Plymouth, MN

Active since July 25, 2013
28 NATHAN LN N, PLYMOUTH, MN 55441(763) 544-5555(763) 544-0305 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willow Grove Family Dental NPPES

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

WILLOW GROVE FAMILY DENTAL (NPI 1417399965) is a healthcare organization registered as a general practice in Plymouth, Minnesota and active in the NPI registry since July 2013. The organization lists Alex Grudsky, Owner - President, as its authorized official.

NPPES Registry Identity

NPI1417399965
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILLOW GROVE FAMILY DENTAL
Location Address28 NATHAN LN NPlymouth, MN 55441-6306
Mailing Address28 Nathan Ln NPlymouth, MN 55441-6306 · (763) 544-5555 · Fax (763) 544-0305
Phone(763) 544-5555
Fax(763) 544-0305
Organization SubpartYesParent: Gr Services
Authorized OfficialAlex GrudskyOwner - President · (763) 694-0222
Enumeration DateJuly 25, 2013
Last NPPES UpdateJune 20, 2018
✔ NPI 1417399965 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.
28 NATHAN LN N, Plymouth, MN 55441
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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 6

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

LAM FAMILY DENTISTRY
Dentist (General Practice)
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 544-0270
DAVID KIRK DODSON MD
General Practice
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 588-7099
BIQ DENTAL PLLC
Clinic/Center (Dental)
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 325-4555
DODSON PAIN CONSULTANTS PA CORP
Clinic/Center
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 588-7099
WILLOW CREEK FAMILY DENTAL
Clinic/Center (Dental)
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 545-1885
DR. NEIL SHELDON GILBERT D.D.S.
Dentist (General Practice)
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 541-4898

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 Willow Grove Family Dental's NPI number?

The NPI number for Willow Grove Family Dental is 1417399965. It was assigned to this organization in the NPPES registry on July 25, 2013.

Where is Willow Grove Family Dental located?

Willow Grove Family Dental is located at 28 Nathan Ln N, Plymouth, MN 55441. The listed phone number is (763) 544-5555.

What is Willow Grove Family Dental'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 Willow Grove Family Dental was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.