OrganizationActive
Willmar Family Dentistry, P.A.
NPI 1205204674 · Dentist · Willmar, MN
Willmar Family Dentistry, P.A. is a Dentist organization in Willmar, MN (NPI 1205204674).
Provider details
- NPI number
- 1205204674
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Peter Jorgenson, Dentist(320) 235-2010
- License
- DT54 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1016 1st St S
Willmar, MN 56201-3510
Phone: (320) 235-2010
Fax: (320) 235-7133
Street-level locationGet directions
Mailing address
1016 1st St S
Willmar, MN 56201-3510
Registry dates
- Enumerated
- 2015-09-02
- Last updated
- 2015-09-02
Frequently asked questions
- What is Willmar Family Dentistry, P.A.'s NPI number?
- Willmar Family Dentistry, P.A.'s National Provider Identifier (NPI) is 1205204674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willmar Family Dentistry, P.A.?
- Willmar Family Dentistry, P.A. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Willmar Family Dentistry, P.A. located?
- Willmar Family Dentistry, P.A.'s practice location on file with NPPES is 1016 1st St S, Willmar, MN 56201-3510.
- What is Willmar Family Dentistry, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Willmar Family Dentistry, P.A. is (320) 235-2010.
- Who is the authorized official for Willmar Family Dentistry, P.A.?
- The authorized official listed on Willmar Family Dentistry, P.A.'s NPPES record is Peter Jorgenson, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willmar Family Dentistry, P.A.'s NPI active?
- Yes — Willmar Family Dentistry, P.A.'s NPI (1205204674) is active in the NPPES registry as of the last update on 2015-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.