OrganizationActive
Eagle Lake Family Dentistry, PA
NPI 1689952038 · Dentist · Saint James, MN
Eagle Lake Family Dentistry, PA is a Dentist organization in Saint James, MN (NPI 1689952038).
Provider details
- NPI number
- 1689952038
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Eagle Lake Family Dentistry, PA
- Organization subpart
- Yes
- Authorized official
- Sean Vostad, Dentist(507) 257-3800
- License
- D11770 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
504 2nd Ave S
Saint James, MN 56081-1737
Phone: (507) 375-4611
Fax: (507) 375-4989
Street-level locationGet directions
Mailing address
504 2nd Ave S
Saint James, MN 56081-1737
Other names (DBA / former)
- Doing business as
- St. James Family Dentistry
Registry dates
- Enumerated
- 2011-08-02
- Last updated
- 2011-08-02
Frequently asked questions
- What is Eagle Lake Family Dentistry, PA's NPI number?
- Eagle Lake Family Dentistry, PA's National Provider Identifier (NPI) is 1689952038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Lake Family Dentistry, PA?
- Eagle Lake Family Dentistry, PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Eagle Lake Family Dentistry, PA located?
- Eagle Lake Family Dentistry, PA's practice location on file with NPPES is 504 2nd Ave S, Saint James, MN 56081-1737.
- What is Eagle Lake Family Dentistry, PA's phone number?
- The practice phone number listed in the NPPES registry for Eagle Lake Family Dentistry, PA is (507) 375-4611.
- Who is the authorized official for Eagle Lake Family Dentistry, PA?
- The authorized official listed on Eagle Lake Family Dentistry, PA's NPPES record is Sean Vostad, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Lake Family Dentistry, PA's NPI active?
- Yes — Eagle Lake Family Dentistry, PA's NPI (1689952038) is active in the NPPES registry as of the last update on 2011-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.