Interlachen Dental Associates
Interlachen Dental Associates is a healthcare organization registered as General Practice Dentistry in Edina, MN, holding Type 2 (organization) NPI 1174600621 since 2006. The authorized official on file is Michael Gitzen, President Owner Doctor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174600621 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Interlachen Dental Associates |
| Practice address | 5101 VERNON AVENUE, SUITE 1B, Edina, MN, 55436 |
| Phone | 9529209579 |
| Fax | 9529209298 |
| Enumeration date | 2006-11-01 |
| Last updated in NPPES | 2012-01-12 |
Authorized official
| Name | Michael Gitzen |
|---|---|
| Title | President Owner Doctor |
| Phone | 9529209579 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Interlachen Dental Associates NPI: 1174600621 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 5101 VERNON AVENUE, SUITE 1B, Edina, MN, 55436
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1770534547 | Michael Gitzen | Individual | Dentist | Edina, MN |
| 1679689152 | Andres Rodriguez | Individual | Prosthodontics | Edina, MN |
Verify this record
Cross-check NPI 1174600621 against the authoritative CMS record: view Interlachen Dental Associates on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Interlachen Dental Associates?
What is the NPI number for Interlachen Dental Associates?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-01-12.