GLACIER LAKE DENTAL P A
NPI 1780235747
Clinic/Center - Dental in Lakeville, MN

Q: What is Glacier Lake Dental P A's NPI number?

The NPI number for Glacier Lake Dental P A is 1780235747. It was assigned to this organization in the NPPES registry on September 21, 2019.

Q: What is Glacier Lake Dental P A's specialty?

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

Active since September 21, 2019

10450 185TH ST W STE 500, LAKEVILLE, MN 55044(952) 435-9888(952) 435-9820 Get Directions Write a Review

NPPES record last updated: September 21, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Glacier Lake Dental P A NPPES

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

GLACIER LAKE DENTAL P A (NPI 1780235747) is a healthcare organization registered as a dental in Lakeville, Minnesota and active in the NPI registry since September 2019. The organization lists Tracy Lu Grasdal, President, as its authorized official.

NPPES Registry Identity

NPI1780235747

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameGLACIER LAKE DENTAL P A

Location Address10450 185TH ST W STE 500Lakeville, MN 55044-6690

Mailing Address10450 185th St W Ste 500Lakeville, MN 55044-6690 · (952) 435-9888 · Fax (952) 435-9820

Phone(952) 435-9888

Fax(952) 435-9820

Organization SubpartNo

Authorized OfficialTracy Lu GrasdalPresident · (952) 486-2595

Enumeration DateSeptember 21, 2019

✔ NPI 1780235747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

10450 185TH ST W STE 500, Lakeville, MN 55044

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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 Glacier Lake Dental P A's NPI number?

The NPI number for Glacier Lake Dental P A is 1780235747. It was assigned to this organization in the NPPES registry on September 21, 2019.

Where is Glacier Lake Dental P A located?

Glacier Lake Dental P A is located at 10450 185th St W Ste 500, Lakeville, MN 55044. The listed phone number is (952) 435-9888.

What is Glacier Lake Dental P A's specialty?

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

When was this NPI record last updated?

The NPPES record for Glacier Lake Dental P A was last updated on September 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.