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DR. BRADLEY ALLAN HOLMBERG BS, DDS
NPI 1770653446
Dentist - General Practice in Eagle Lake, MN

Active since November 09, 2006
104 PLAINVIEW STREET, EAGLE LAKE, MN 56024(507) 257-3800(507) 257-3456 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradley Allan Holmberg Bs, Dds NPPES

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

DR. BRADLEY ALLAN HOLMBERG BS, DDS (NPI 1770653446) is an individual general practice provider in Eagle Lake, Minnesota, licensed in Minnesota (9088) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1770653446
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRADLEY ALLAN HOLMBERGCredential: BS, DDS
Location Address104 PLAINVIEW STREETEagle Lake, MN 56024
Mailing Address221 Crestwood DrNorth Mankato, MN 56003-3514 · (507) 345-4854 · Fax (507) 257-4356
Phone(507) 257-3800
Fax(507) 257-3456
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770653446 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 · 9088
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.
104 PLAINVIEW STREET, Eagle Lake, MN 56024
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Other Providers at the Same Location NPPES

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

EAGLE LAKE FAMILY DENTISTRY, P.A.
Dentist (General Practice)
104 PLAINVIEW STREET, BOX 97
EAGLE LAKE, MN 56024
Blue Earth County (507) 257-3800

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 Bradley Holmberg's NPI number?

The NPI number for Bradley Holmberg is 1770653446. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Bradley Holmberg located?

Bradley Holmberg practices at 104 Plainview Street, Eagle Lake, MN 56024. The listed phone number is (507) 257-3800.

What is Bradley Holmberg'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 Bradley Holmberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.