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

OTTERTAIL DENTAL
NPI 1528673365
Dentist - General Practice in Fergus Falls, MN

Active since September 09, 2020
1409 COLLEGE WAY, FERGUS FALLS, MN 56537(218) 739-3245(218) 739-5626 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ottertail Dental NPPES

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

OTTERTAIL DENTAL (NPI 1528673365), doing business as Otter Tail Dental, is a healthcare organization registered as a general practice in Fergus Falls, Minnesota and active in the NPI registry since September 2020. The organization lists Sonja Ann Johnson, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1528673365
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOTTERTAIL DENTAL
Location Address1409 COLLEGE WAYFergus Falls, MN 56537-1055
Mailing Address1409 College WayFergus Falls, MN 56537-1055 · (218) 739-3245 · Fax (218) 739-5626
Phone(218) 739-3245
Fax(218) 739-5626
Organization SubpartNo
Authorized OfficialSonja Ann JohnsonBusiness Manager · (218) 739-3245
Enumeration DateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
✔ NPI 1528673365 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.
1409 COLLEGE WAY, Fergus Falls, MN 56537
Open in Google Maps ↗

Other Names 1

Doing Business AsOtter Tail Dental

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 3

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

DR. JACOB ISAAC IHLE DDS
Dentist
1409 COLLEGE WAY
FERGUS FALLS, MN 56537
Otter Tail County (218) 739-3245
DR. YVONNE S HANLEY D.D.S.
Dentist
1409 COLLEGE WAY
FERGUS FALLS, MN 56537
Otter Tail County (218) 739-3245
DR. MARK KENNETH MURPHY D.D.S.
Dentist (General Practice)
1409 COLLEGE WAY
FERGUS FALLS, MN 56537
Otter Tail County (218) 739-3245

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 Ottertail Dental's NPI number?

The NPI number for Ottertail Dental is 1528673365. It was assigned to this organization in the NPPES registry on September 9, 2020. The provider is doing business as Otter Tail Dental.

Where is Ottertail Dental located?

Ottertail Dental is located at 1409 College Way, Fergus Falls, MN 56537. The listed phone number is (218) 739-3245.

What is Ottertail 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 Ottertail Dental was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.