Willmar Family Dentistry, P.A.
NPI 1205204674ActiveOrganization· Dentist· Willmar, MN
Dentist in Willmar, Minnesota, registered in NPPES in September 2015. The authorized official on file is Peter Jorgenson, D.D.S., Dentist.
Overview
| NPI | 1205204674 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 2, 2015 |
| Last updated in NPPES | Sep 2, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 9800 | MN |
| Dental Therapist | 125J00000X | DT54 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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