National Provider Identifier Database

CENTRAL LAKES COMMUNITY DENTAL CLINIC
Dental Public Health

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.


Contact Information

CENTRAL LAKES COMMUNITY DENTAL CLINIC
11600 STATE AVE.
SUITE A
BRAINERD, MN56401
Phone: 218-855-8600
Fax: 651-431-7355
Website:
Specialty Taxonomy Code
* Dental Public Health 1223D0001X

* Indicates primary specialty

NPI Profile & details for CENTRAL LAKES COMMUNITY DENTAL CLINIC

NPI Number 1467508226
Legal business name
LBN
CENTRAL LAKES COMMUNITY DENTAL CLINIC
Authorized official LYNN GLANCEY - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 01/26/2007
Last updated 01/07/2026 - About 5 months ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 970826000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CENTRAL LAKES COMMUNITY DENTAL CLINIC

There are currently no reviews for CENTRAL LAKES COMMUNITY DENTAL CLINIC


NPIdb - Home
v2.201