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

Willmar Family Dentistry, PA

Organization Dentist · NPI 1205204674

Willmar Family Dentistry, PA is a Dentist in Willmar, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1016 1st St S
Willmar, MN 56201-3510
Phone: (320) 235-2010
Fax: (320) 235-7133
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9800 (MN)
Dental Therapist Taxonomy 125J00000X · Licence DT54 (MN)

Record details

NPI number1205204674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Jorgenson — Dentist · (320) 235-2010
NPI enumeratedSeptember 2, 2015
Last updated in NPPESSeptember 2, 2015
Mailing address1016 1st St S, Willmar, MN 56201-3510

Other providers in Willmar