Glen Lake Family Dentistry P.l.l.c.
Dental Clinic
5509 Eden Prairie Rd, Minnetonka
Minnesota, 55345-5839
952-938-6038 952-935-9175
Maps & DirectionsGlen Lake Family Dentistry P.l.l.c. is a Dental Clinic in Minnetonka, Minnesota. It is located at 5509 Eden Prairie Rd, Minnetonka, MN and its contact number is 952-938-6038. The authorized person for Glen Lake Family Dentistry P.l.l.c. is Gregory Alan Olson
who is Dentist of the clinic and their contact number is 952-938-6038. The primary license number for Glen Lake Family Dentistry P.l.l.c. is D11282/D10240 (General Practice) in Minnesota.
Glen Lake Family Dentistry P.l.l.c. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Glen Lake Family Dentistry P.l.l.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Glen Lake Family Dentistry P.l.l.c. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 5509 Eden Prairie Rd, Minnetonka,
Minnesota, 55345-5839 |
| Phone: | 952-938-6038 |
| Fax: | 952-935-9175 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Gregory Alan Olson |
| Position: | Dentist |
| Contact Number: | 952-938-6038 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Glen Lake Family Dentistry P.l.l.c. clinic are as mentioned below.
| NPI Number: | 1740215656 |
| NPI Enumeration Date: | 11 Jul, 2006 |
| NPI Last Update On: | 21 Oct, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glen Lake Family Dentistry P.l.l.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | D11282/D10240 | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 674718300 | Other | Minnesota | State Medical Assistance# |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Glen Lake Family Dentistry P.l.l.c.
5509 Eden Prairie Rd,
Minnetonka, Minnesota |
| Zip: | 55345-5839 |
| Phone Number: | 952-938-6038 |
| Fax Number: | 952-935-9175 |
Patients can reach Glen Lake Family Dentistry P.l.l.c. at
5509 Eden Prairie Rd, Minnetonka, Minnesota or can
call to book an appointment on 952-938-6038.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.