Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glacier Lake Dental P A

Organization Dental Clinic/Center · NPI 1780235747

Glacier Lake Dental P A is a Dental Clinic/Center in Lakeville, Minnesota. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

10450 185th St W Ste 500
Lakeville, MN 55044-6690
Phone: (952) 435-9888
Fax: (952) 435-9820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1780235747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Grasdal — President · (952) 486-2595
NPI enumeratedSeptember 21, 2019
Last updated in NPPESSeptember 21, 2019
Mailing address10450 185th St W Ste 500, Lakeville, MN 55044-6690

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