WILLOW CREEK FAMILY DENTAL
NPI 1508104191
Clinic/Center - Dental in Plymouth, MN

Active since January 16, 2013
28 NATHAN LN N, PLYMOUTH, MN 55441(763) 545-1885 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willow Creek Family Dental NPPES

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

WILLOW CREEK FAMILY DENTAL (NPI 1508104191) is a healthcare organization registered as a dental in Plymouth, Minnesota and active in the NPI registry since January 2013. The organization lists Neera Madhok, Dentist, as its authorized official.

NPPES Registry Identity

NPI1508104191
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWILLOW CREEK FAMILY DENTAL
Location Address28 NATHAN LN NPlymouth, MN 55441-6306
Mailing Address28 Nathan Ln NPlymouth, MN 55441-6306
Organization SubpartNo
Authorized OfficialNeera MadhokDentist · (763) 545-1885
Enumeration DateJanuary 16, 2013
NPI 1508104191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MN · 12181
28 NATHAN LN N, Plymouth, MN 55441

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.

Dentist (General Practice)
28 NATHAN LN N
PLYMOUTH, MN 55441
General Practice
28 NATHAN LN N
PLYMOUTH, MN 55441
Clinic/Center (Dental)
28 NATHAN LN N
PLYMOUTH, MN 55441
Clinic/Center
28 NATHAN LN N
PLYMOUTH, MN 55441
Dentist (General Practice)
28 NATHAN LN N
PLYMOUTH, MN 55441
Dentist (General Practice)
28 NATHAN LN N
PLYMOUTH, MN 55441

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 Creek Family Dental's NPI number?

The NPI number for Willow Creek Family Dental is 1508104191. It was assigned to this organization in the NPPES registry on January 16, 2013.

Where is Willow Creek Family Dental located?

Willow Creek Family Dental is located at 28 Nathan Ln N, Plymouth, MN 55441. The listed phone number is (763) 545-1885.

What is Willow Creek Family 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 Willow Creek Family Dental was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.