OrganizationActive
Interlachen Dental Associates
NPI 1174600621 · General Practice Dentistry · Edina, MN
Interlachen Dental Associates is a General Practice Dentistry organization in Edina, MN (NPI 1174600621).
Provider details
- NPI number
- 1174600621
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Gitzen, President Owner Doctor(952) 920-9579
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
5101 Vernon Avenue
Suite 1b
Edina, MN 55436
Phone: (952) 920-9579
Fax: (952) 920-9298
Street-level locationGet directions
Mailing address
5101 Vernon Avenue
Edina, MN 55436
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2012-01-12
Frequently asked questions
- What is Interlachen Dental Associates's NPI number?
- Interlachen Dental Associates's National Provider Identifier (NPI) is 1174600621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Interlachen Dental Associates?
- Interlachen Dental Associates is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Interlachen Dental Associates located?
- Interlachen Dental Associates's practice location on file with NPPES is 5101 Vernon Avenue, Edina, MN 55436.
- What is Interlachen Dental Associates's phone number?
- The practice phone number listed in the NPPES registry for Interlachen Dental Associates is (952) 920-9579.
- Who is the authorized official for Interlachen Dental Associates?
- The authorized official listed on Interlachen Dental Associates's NPPES record is Michael Gitzen, President Owner Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Interlachen Dental Associates's NPI active?
- Yes — Interlachen Dental Associates's NPI (1174600621) is active in the NPPES registry as of the last update on 2012-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.