| Prairie Lakes Family Dentistry | |
|
212 3rd St Ste 5 Tracy MN 56175-1267 | |
| (507) 212-0002 | |
| (507) 212-0020 |
| Full Name | Prairie Lakes Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 212 3rd St Ste 5, Tracy, Minnesota |
| Authorized Official Name and Position | Heidi Marie Knudson (FRONT DESK) |
| Authorized Official Contact | 5072120002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Lakes Family Dentistry 212 3rd St Ste 5 Tracy MN 56175-1267 Ph: (507) 212-0002 | Prairie Lakes Family Dentistry 212 3rd St Ste 5 Tracy MN 56175-1267 Ph: (507) 212-0002 |
| NPI Number | 1821946807 |
|---|---|
| Provider Enumeration Date | 03/17/2026 |
| Last Update Date | 03/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821946807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
3rd Street Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 3rd St Ste 5, Tracy, MN 56175 Phone: 507-626-8826 | |
Prairie Lakes Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 3rd St, Tracy, MN 56175 Phone: 507-212-0002 Fax: 507-212-0020 |