OrganizationActive
Glen Oaks Dental Pllp
NPI 1710054986 · General Practice Dentistry · Circle Pines, MN
Provider details
- NPI number
- 1710054986
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Paul Craven, General Partner(763) 786-8460
- License
- D8945 (MN)
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
2 S Pine Dr
Ste M
Circle Pines, MN 55014-1798
Phone: (763) 786-8460
Fax: (763) 786-1792
Street-level locationGet directions
Mailing address
2 S Pine Dr
Circle Pines, MN 55014-1848
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.