Eagle Lake Family Dentistry, Pa is a Dental Clinic in Saint James, Minnesota. This organization is also known as sub part of Eagle Lake Family Dentistry, Pa. It is located at 504 2nd Ave S, Saint James, MN and its contact number is 507-375-4611. The authorized person for Eagle Lake Family Dentistry, Pa is Dr. Sean Patrick Vostad
who is Dentist of the clinic and their contact number is 507-257-3800. The primary license number for Eagle Lake Family Dentistry, Pa is D9088 (Dentist) in Minnesota.
Eagle Lake Family Dentistry, Pa Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Eagle Lake Family Dentistry, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Eagle Lake Family Dentistry, Pa |
| Specialization: | Dentistry |
| Clinic Address: | 504 2nd Ave S, Saint James,
Minnesota, 56081-1737 |
| Phone: | 507-375-4611 |
| Fax: | 507-375-4989 |
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: | Dr. Sean Patrick Vostad |
| Position: | Dentist |
| Contact Number: | 507-257-3800 |
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 Eagle Lake Family Dentistry, Pa clinic are as mentioned below.
| NPI Number: | 1689952038 |
| Parent Organization: | Eagle Lake Family Dentistry, Pa |
| NPI Enumeration Date: | 02 Aug, 2011 |
| NPI Last Update On: | 02 Aug, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eagle Lake Family Dentistry, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | D9088 | Minnesota | Primary | |
| Dentist | D11770 | Minnesota | Secondary | |
| Dentist | D12980 | Minnesota | Secondary | |
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 |
| 1245529650 | Other | Minnesota | Npi |
| 1528138948 | Other | Minnesota | Npi |
| 1770653446 | Other | Minnesota | Npi |
| 1649340050 | Other | Minnesota | Npi |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Eagle Lake Family Dentistry, Pa
504 2nd Ave S, Po Box 515
Saint James, Minnesota |
| Zip: | 56081-1737 |
| Phone Number: | 507-375-4611 |
| Fax Number: | 507-375-4989 |
Patients can reach Eagle Lake Family Dentistry, Pa at
504 2nd Ave S, Saint James, Minnesota or can
call to book an appointment on 507-375-4611.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.