OrganizationActive
Northern Lakes Dental, Ltd.
NPI 1003035775 · General Practice Dentistry · Fergus Falls, MN
Provider details
- NPI number
- 1003035775
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Scott Wagnild, President(218) 736-4000
- License
- 10677 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1108 Western Ave
Fergus Falls, MN 56537-4808
Phone: (218) 736-4000
Fax: (218) 736-0766
Street-level locationGet directions
Mailing address
1108 Western Ave
Fergus Falls, MN 56537-4808
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.