OrganizationActive
Prairie Lakes Family Dentistry
NPI 1780453589 · General Practice Dentistry · Tracy, MN
Prairie Lakes Family Dentistry is a General Practice Dentistry organization in Tracy, MN (NPI 1780453589).
Provider details
- NPI number
- 1780453589
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jon Heezen, Owner/Dentist(507) 212-0002
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
212 3rd St
Tracy, MN 56175-1214
Phone: (507) 212-0002
Fax: (507) 212-0020
Street-level locationGet directions
Mailing address
Po Box 1174
Tracy, MN 56175-0174
Other names (DBA / former)
- Doing business as
- Prairie Lakes Family Dentistry
Registry dates
- Enumerated
- 2023-12-21
- Last updated
- 2023-12-21
- Certified
- 2023-12-21
Frequently asked questions
- What is Prairie Lakes Family Dentistry's NPI number?
- Prairie Lakes Family Dentistry's National Provider Identifier (NPI) is 1780453589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie Lakes Family Dentistry?
- Prairie Lakes Family Dentistry is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Prairie Lakes Family Dentistry located?
- Prairie Lakes Family Dentistry's practice location on file with NPPES is 212 3rd St, Tracy, MN 56175-1214.
- What is Prairie Lakes Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Prairie Lakes Family Dentistry is (507) 212-0002.
- Who is the authorized official for Prairie Lakes Family Dentistry?
- The authorized official listed on Prairie Lakes Family Dentistry's NPPES record is Jon Heezen, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie Lakes Family Dentistry's NPI active?
- Yes — Prairie Lakes Family Dentistry's NPI (1780453589) is active in the NPPES registry as of the last update on 2023-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.