OrganizationActive
Eagle Lake Family Dentistry, P.A.
NPI 1528138948 · General Practice Dentistry · Eagle Lake, MN
Eagle Lake Family Dentistry, P.A. is a General Practice Dentistry organization in Eagle Lake, MN (NPI 1528138948).
Provider details
- NPI number
- 1528138948
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bradley Holmberg, President(507) 257-3800
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
104 Plainview Street
Box 97
Eagle Lake, MN 56024
Phone: (507) 257-3800
Fax: (507) 257-3456
Street-level locationGet directions
Mailing address
104 Plainview Street
Eagle Lake, MN 56024
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2016-02-09
Frequently asked questions
- What is Eagle Lake Family Dentistry, P.A.'s NPI number?
- Eagle Lake Family Dentistry, P.A.'s National Provider Identifier (NPI) is 1528138948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Lake Family Dentistry, P.A.?
- Eagle Lake Family Dentistry, P.A. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Eagle Lake Family Dentistry, P.A. located?
- Eagle Lake Family Dentistry, P.A.'s practice location on file with NPPES is 104 Plainview Street, Eagle Lake, MN 56024.
- What is Eagle Lake Family Dentistry, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Eagle Lake Family Dentistry, P.A. is (507) 257-3800.
- Who is the authorized official for Eagle Lake Family Dentistry, P.A.?
- The authorized official listed on Eagle Lake Family Dentistry, P.A.'s NPPES record is Bradley Holmberg, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Lake Family Dentistry, P.A.'s NPI active?
- Yes — Eagle Lake Family Dentistry, P.A.'s NPI (1528138948) is active in the NPPES registry as of the last update on 2016-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.