OrganizationActive
Health Source Dental Clinic
NPI 1508962994 · Public Health Dentistry · Cambridge, MN
Provider details
- NPI number
- 1508962994
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lynn Glancey, Chief Financial Officer(651) 539-7200
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(95/100 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
2 documented practice locations
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
140 Birch St. N
Suite 114
Cambridge, MN 55008
Phone: (763) 347-4399
Fax: (651) 431-7641
Street-level locationGet directions
Mailing address
3200 Labore Rd
Vadnais Heights, MN 55110-5186
Additional practice locations (1)
- 1425 State StCambridge, MN 55008-5033Phone: (763) 689-7306
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.