1. Home
  2. Directory
  3. Minnesota
  4. Cambridge
  5. Dentist
  6. NPI Profile

HEALTH SOURCE DENTAL CLINIC
NPI 1508962994
Dentist - Dental Public Health in Cambridge, MN

Active since September 15, 2006
140 BIRCH ST. N, SUITE 114, CAMBRIDGE, MN 55008(763) 347-4399(651) 431-7641 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Health Source Dental Clinic NPPES

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

HEALTH SOURCE DENTAL CLINIC (NPI 1508962994) is a healthcare organization registered as a dental public health in Cambridge, Minnesota and active in the NPI registry since September 2006. The organization maintains a secondary practice location in Cambridge and lists Lynn Glancey, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1508962994
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameHEALTH SOURCE DENTAL CLINIC
Location Address140 BIRCH ST. N, SUITE 114Cambridge, MN 55008
Mailing Address3200 Labore Rd, Suite 104Vadnais Heights, MN 55110-5186 · (651) 539-7200
Phone(763) 347-4399
Fax(651) 431-7641
Organization SubpartNo
Authorized OfficialLynn GlanceyChief Financial Officer · (651) 539-7200
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
✔ NPI 1508962994 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.
140 BIRCH ST. N, Cambridge, MN 55008
Open in Google Maps ↗

Secondary Practice Location 1

Location 11425 State StCambridge, MN 55008-5033 · Phone (763) 689-7306

Other Identifiers 1

Medicaid366053200MN

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Health Source Dental Clinic's NPI number?

The NPI number for Health Source Dental Clinic is 1508962994. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Health Source Dental Clinic located?

Health Source Dental Clinic is located at 140 Birch St. N Suite 114, Cambridge, MN 55008. The listed phone number is (763) 347-4399.

What is Health Source Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Health Source Dental Clinic was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.