| Central Lakes Community Dental Clinic | |
|
11600 State Ave. Suite A Brainerd MN 56401 | |
| (218) 855-8600 | |
| (651) 431-7355 |
| Full Name | Central Lakes Community Dental Clinic |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 11600 State Ave., Brainerd, Minnesota |
| Authorized Official Name and Position | Lynn Glancey (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6515397200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Lakes Community Dental Clinic 3200 Labore Rd. Suite 104 Vadnais Heights MN 55110-5186 Ph: (651) 539-7200 | Central Lakes Community Dental Clinic 11600 State Ave. Suite A Brainerd MN 56401 Ph: (218) 855-8600 |
| NPI Number | 1467508226 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 01/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467508226 | NPI | - | NPPES |
| 970826000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
Central Mn Pediatric Dentists, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 S 6th St, Brainerd, MN 56401 Phone: 320-253-0272 Fax: 320-251-2661 | |
Bender Winegar Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 S 6th St, Suite 2, Brainerd, MN 56401 Phone: 218-829-0795 Fax: 218-829-6871 | |
Paul J Henningson Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Maple Street, Brainerd, MN 56401 Phone: 218-829-9403 | |
Lake County Dental Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 James St, Brainerd, MN 56401 Phone: 218-829-4243 Fax: 218-825-8102 | |
Minnesota State Colleges And Universities Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 W College Dr, Brainerd, MN 56401 Phone: 218-855-8000 | |
Oral And Maxillofacial Surgery Associates, Ltd Dental Clinic Medicare: Medicare Enrolled Practice Location: 1903 S 6th St Ste 4, Brainerd, MN 56401 Phone: 218-829-1728 Fax: 218-829-1729 |