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WILLMAR DENTAL CLINIC
NPI 1811033061
Dentist - Dental Public Health in Willmar, MN

Active since January 29, 2007
1604 1ST ST. S, SUITE 140, WILLMAR, MN 56201(320) 231-5315(320) 231-5303 Get Directions Write a Review

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

Record update history: Jan 7, 2026, Sep 4, 2019 (2 updates tracked since 2019).

About Willmar Dental Clinic NPPES

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

WILLMAR DENTAL CLINIC (NPI 1811033061) is a healthcare organization registered as a dental public health in Willmar, Minnesota and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Willmar and lists Lynn Glancey, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1811033061
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameWILLMAR DENTAL CLINIC
Location Address1604 1ST ST. S, SUITE 140Willmar, MN 56201-2276
Mailing Address3200 Labore Rd., Suite 104Vadnais Heights, MN 55110-5186 · (651) 539-7200
Phone(320) 231-5315
Fax(320) 231-5303
Organization SubpartNo
Authorized OfficialLynn GlanceyChief Financial Officer · (651) 539-7200
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1811033061 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.
1604 1ST ST. S, Willmar, MN 56201
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Secondary Practice Location 1

Location 11801 TECHNOLOGY DR NEWILLMAR, MN 56201 · Phone (320) 231-5100

Other Identifiers 1

Medicaid243833000MN

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

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 Willmar Dental Clinic's NPI number?

The NPI number for Willmar Dental Clinic is 1811033061. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Willmar Dental Clinic located?

Willmar Dental Clinic is located at 1604 1st St. S Suite 140, Willmar, MN 56201. The listed phone number is (320) 231-5315.

What is Willmar 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 Willmar 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.