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Eagle Lake Family Dentistry, P.A.

General Practice Dentistry in Eagle Lake, MN · enumerated 2006 · authorized official Bradley Holmberg, President.

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

National Provider Identifier

1528138948

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Registry record

Entity type Organization (Type 2)
Legal business name Eagle Lake Family Dentistry, P.A.
Practice address 104 Plainview Street, Box 97, Eagle Lake, MN, 56024
Fax (507) 257-3456
Enumeration date Nov 9, 2006
Last updated in NPPES Feb 9, 2016

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Bradley Holmberg
Title President

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.

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Frequently asked questions

What is the NPI number for Eagle Lake Family Dentistry, P.A.?
The NPI for Eagle Lake Family Dentistry, P.A. is 1528138948, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Eagle Lake Family Dentistry, P.A.?
NPPES lists Bradley Holmberg (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-09.