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Eagle Lake Family Dentistry, PA

Dentist in Saint James, MN · enumerated 2011 · authorized official Sean Vostad, Dentist.

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

National Provider Identifier

1689952038

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Registry record

Entity type Organization (Type 2)
Legal business name Eagle Lake Family Dentistry, PA
Other name <Unavail>
Parent organization Eagle Lake Family Dentistry, PA
Practice address 504 2nd Ave S, Saint James, MN, 56081
Phone (507) 375-4611
Fax (507) 375-4989
Enumeration date Aug 2, 2011
Last updated in NPPES Aug 2, 2011

Taxonomy & classification

122300000X Dentist Dental Providers · License D9088 (MN) Primary
122300000X Dentist Dental Providers · License D11770 (MN) Secondary
122300000X Dentist Dental Providers · License D12980 (MN) Secondary

Authorized official

Name Sean Vostad
Title Dentist
Phone (507) 257-3800

Other identifiers

Identifier Type State Issuer
1245529650 Other MN NPI
1528138948 Other MN NPI
1770653446 Other MN NPI
1649340050 Other MN NPI

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

Where is Eagle Lake Family Dentistry, PA located?
The practice location on file with NPPES is in Saint James, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-08-02. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-08-02.