NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Willow Grove Family Dental

General Practice Dentistry in Plymouth, MN · enumerated 2013 · authorized official Alex Grudsky, Owner - President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417399965

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Willow Grove Family Dental
Parent organization Gr Services
Practice address 28 Nathan Ln N, Plymouth, MN, 55441
Phone (763) 544-5555
Fax (763) 544-0305
Enumeration date Jul 25, 2013
Last updated in NPPES Jun 20, 2018

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Alex Grudsky
Title Owner - President
Phone (763) 694-0222

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 → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-06-20. Verify at npiregistry.cms.hhs.gov.
Where is Willow Grove Family Dental located?
The practice location on file with NPPES is in Plymouth, MN.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-20.