WILLOW LAKE DENTAL
NPI 1508318247
Clinic/Center - Dental in Vadnais Heights, MN

Q: What is Tracy M. St. Dennis, D.D.S., PLLC's NPI number?

The NPI number for Tracy M. St. Dennis, D.D.S., PLLC is 1508318247. It was assigned to this organization in the NPPES registry on October 28, 2016. The provider is doing business as Willow Lake Dental.

Q: What is Tracy M. St. Dennis, D.D.S., PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since October 28, 2016

3475 WILLOW LAKE BLVD, SUITE 100, VADNAIS HEIGHTS, MN 55110(651) 341-2106 Get Directions Write a Review

NPPES record last updated: October 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Willow Lake Dental NPPES

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

WILLOW LAKE DENTAL (NPI 1508318247) is a healthcare organization registered as a dental in Vadnais Heights, Minnesota and active in the NPI registry since October 2016. The organization lists Mark St Dennis, General Manager, as its authorized official.

NPPES Registry Identity

NPI1508318247

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameTRACY M. ST. DENNIS, D.D.S., PLLC

Location Address3475 WILLOW LAKE BLVD, SUITE 100Vadnais Heights, MN 55110-5156

Mailing Address3475 Willow Lake Blvd, Suite 100Vadnais Heights, MN 55110-5156 · (651) 341-2106

Phone(651) 341-2106

Organization SubpartNo

Authorized OfficialMark St DennisGeneral Manager · (651) 341-2106

Enumeration DateOctober 28, 2016

✔ NPI 1508318247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

3475 WILLOW LAKE BLVD, Vadnais Heights, MN 55110

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Other Names 1

Doing Business AsWillow Lake Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Tracy M. St. Dennis, D.D.S., PLLC's NPI number?

The NPI number for Tracy M. St. Dennis, D.D.S., PLLC is 1508318247. It was assigned to this organization in the NPPES registry on October 28, 2016. The provider is doing business as Willow Lake Dental.

Where is Tracy M. St. Dennis, D.D.S., PLLC located?

Tracy M. St. Dennis, D.D.S., PLLC is located at 3475 Willow Lake Blvd Suite 100, Vadnais Heights, MN 55110. The listed phone number is (651) 341-2106.

What is Tracy M. St. Dennis, D.D.S., PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Tracy M. St. Dennis, D.D.S., PLLC accept?

Health plans from UnitedHealthcare list Tracy M. St. Dennis, D.D.S., PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy M. St. Dennis, D.D.S., PLLC was last updated on October 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.