OrganizationActive
Willow Grove Family Dental
NPI 1417399965 · General Practice Dentistry · Plymouth, MN
Willow Grove Family Dental is a General Practice Dentistry organization in Plymouth, MN (NPI 1417399965).
Provider details
- NPI number
- 1417399965
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Gr Services
- Organization subpart
- Yes
- Authorized official
- Alex Grudsky, Owner - President(763) 694-0222
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
28 Nathan Ln N
Plymouth, MN 55441-6306
Phone: (763) 544-5555
Fax: (763) 544-0305
Street-level locationGet directions
Mailing address
28 Nathan Ln N
Plymouth, MN 55441-6306
Registry dates
- Enumerated
- 2013-07-25
- Last updated
- 2018-06-20
Frequently asked questions
- What is Willow Grove Family Dental's NPI number?
- Willow Grove Family Dental's National Provider Identifier (NPI) is 1417399965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willow Grove Family Dental?
- Willow Grove Family Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Willow Grove Family Dental located?
- Willow Grove Family Dental's practice location on file with NPPES is 28 Nathan Ln N, Plymouth, MN 55441-6306.
- What is Willow Grove Family Dental's phone number?
- The practice phone number listed in the NPPES registry for Willow Grove Family Dental is (763) 544-5555.
- Who is the authorized official for Willow Grove Family Dental?
- The authorized official listed on Willow Grove Family Dental's NPPES record is Alex Grudsky, Owner - President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willow Grove Family Dental's NPI active?
- Yes — Willow Grove Family Dental's NPI (1417399965) is active in the NPPES registry as of the last update on 2018-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.