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NONE
NPI 1740215656
Dentist - General Practice in Minnetonka, MN

Active since July 11, 2006
5509 EDEN PRAIRIE RD, MINNETONKA, MN 55345(952) 938-6038(952) 935-9175 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About None NPPES

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

NONE (NPI 1740215656) is a healthcare organization registered as a general practice in Minnetonka, Minnesota and active in the NPI registry since July 2006. The organization lists Gregory Alan Olson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1740215656
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGLEN LAKE FAMILY DENTISTRY P.L.L.C.
Location Address5509 EDEN PRAIRIE RDMinnetonka, MN 55345-5839
Mailing Address5509 Eden Prairie RdMinnetonka, MN 55345-5839 · (952) 938-6038 · Fax (952) 935-9175
Phone(952) 938-6038
Fax(952) 935-9175
Organization SubpartNo
Authorized OfficialGregory Alan OlsonDentist · (952) 938-6038
Enumeration DateJuly 11, 2006
Last NPPES UpdateOctober 21, 2009
✔ NPI 1740215656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D11282/D10240
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.
5509 EDEN PRAIRIE RD, Minnetonka, MN 55345
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Other Identifiers 1

Other674718300MN · State Medical Assistance#

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 4

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

DR. CRYSTAL A PFISTERER D.C.
Chiropractor
5509 EDEN PRAIRIE RD
MINNETONKA, MN 55345
Hennepin County (952) 446-7177
CHIROSERVICES, PLLC
Clinic/Center
5509 EDEN PRAIRIE RD
MINNETONKA, MN 55345
Hennepin County (952) 446-7177
GREGORY ALAN OLSON D.D.S.
Dentist
5509 EDEN PRAIRIE RD
MINNETONKA, MN 55345
Hennepin County (952) 938-6038
AMY ELISE HUGHES D.D.S.
Dentist
5509 EDEN PRAIRIE RD
MINNETONKA, MN 55345
Hennepin County (952) 938-6038

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 Glen Lake Family Dentistry P.L.L.C.'s NPI number?

The NPI number for Glen Lake Family Dentistry P.L.L.C. is 1740215656. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Glen Lake Family Dentistry P.L.L.C. located?

Glen Lake Family Dentistry P.L.L.C. is located at 5509 Eden Prairie Rd, Minnetonka, MN 55345. The listed phone number is (952) 938-6038.

What is Glen Lake Family Dentistry P.L.L.C.'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 Glen Lake Family Dentistry P.L.L.C. was last updated on October 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.