CENTRAL LAKES COMMUNITY DENTAL CLINIC
NPI 1467508226
Dentist - Dental Public Health in Brainerd, MN

Active since January 26, 2007
11600 STATE AVE., SUITE A, BRAINERD, MN 56401(218) 855-8600(651) 431-7355 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 7, 2026, Jun 5, 2025 (2 updates tracked since 2025).

About Central Lakes Community Dental Clinic NPPES

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

CENTRAL LAKES COMMUNITY DENTAL CLINIC (NPI 1467508226) is a healthcare organization registered as a dental public health in Brainerd, Minnesota and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Brainerd and lists Lynn Glancey, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1467508226
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameCENTRAL LAKES COMMUNITY DENTAL CLINIC
Location Address11600 STATE AVE., SUITE ABrainerd, MN 56401
Mailing Address3200 Labore Rd., Suite 104Vadnais Heights, MN 55110-5186 · (651) 539-7200
Fax(651) 431-7355
Organization SubpartNo
Authorized OfficialLynn GlanceyChief Financial Officer · (651) 539-7200
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1467508226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

11600 STATE AVE., Brainerd, MN 56401

Secondary Practice Location 1

Location 111615 State Ave.Brainerd, MN 56401 · Phone (218) 855-8600

Other Identifiers 1

Medicaid970826000MN

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

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467508226, enumerated as an "organization" on January 26, 2007.

The provider is located at 11600 STATE AVE. SUITE A BRAINERD, MN 56401 and the phone number is (218) 855-8600.

Dentist with taxonomy code 1223D0001X and a focus in Dental Public Health.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.