Organization · Type 2 NPI
Eagle Lake Family Dental, PLLC
Dental Clinic/Center · Eagle Lake, MN
NPI number
1114853660
Active
Practice location
104 Plainview St
Eagle Lake, MN 56024-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1114853660
Eagle Lake Family Dental, PLLC's National Provider Identifier is 1114853660, issued on Jun 22, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Eagle Lake, MN. The record was last updated on Jun 22, 2026.