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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.