OrganizationActive
Glen Lake Dental Associates, P.A.
NPI 1003062084 · General Practice Dentistry · Minnetonka, MN
Glen Lake Dental Associates, P.A. is a General Practice Dentistry organization in Minnetonka, MN (NPI 1003062084).
Provider details
- NPI number
- 1003062084
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kent Cassidy, President(952) 935-5212
- License
- D9306 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
14418 Excelsior Blvd
Minnetonka, MN 55345-5820
Phone: (952) 935-5212
Fax: (952) 935-1391
Street-level locationGet directions
Mailing address
14418 Excelsior Blvd
Minnetonka, MN 55345-5820
Registry dates
- Enumerated
- 2008-08-11
- Last updated
- 2008-08-11
Frequently asked questions
- What is Glen Lake Dental Associates, P.A.'s NPI number?
- Glen Lake Dental Associates, P.A.'s National Provider Identifier (NPI) is 1003062084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glen Lake Dental Associates, P.A.?
- Glen Lake Dental Associates, P.A. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Glen Lake Dental Associates, P.A. located?
- Glen Lake Dental Associates, P.A.'s practice location on file with NPPES is 14418 Excelsior Blvd, Minnetonka, MN 55345-5820.
- What is Glen Lake Dental Associates, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Glen Lake Dental Associates, P.A. is (952) 935-5212.
- Who is the authorized official for Glen Lake Dental Associates, P.A.?
- The authorized official listed on Glen Lake Dental Associates, P.A.'s NPPES record is Kent Cassidy, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glen Lake Dental Associates, P.A.'s NPI active?
- Yes — Glen Lake Dental Associates, P.A.'s NPI (1003062084) is active in the NPPES registry as of the last update on 2008-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.