Organization · Type 2 NPI

Eagle Lake Family Dentistry, PA

Dentist · St. James, MN

NPI number 1689952038 Active

Practice location

504 2nd Ave S
St. James, MN 56081-1737

Fax (507) 375-4989

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	D9088 (MN)
Dentist	122300000X	D11770 (MN)
Dentist	122300000X	D12980 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

Another provider at this address

Youngren Family Dental Care Center, Inc.Dental Clinic/Center St. James, MN NPI 1609992049

NPI record

NPI: 1689952038
Entity type: Organization (Type 2)
Issued: Aug 2, 2011
Last updated: Aug 2, 2011
Status: Active
Subpart: Yes of Eagle Lake Family Dentistry, PA

Other names

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St. James Family Dentistry · doing business as

Authorized official

Dr. Sean Patrick Vostad, DDS
Dentist
(507) 257-3800

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689952038

Eagle Lake Family Dentistry, PA's National Provider Identifier is 1689952038, issued on Aug 2, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. James, MN. The record was last updated on Aug 2, 2011.