Organization Active NPI

Woods and Water Family Dental PLLC

  • Dental Clinic/Center
  • Cloquet, MN
National Provider Identifier
1013717289
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WOODS AND WATER FAMILY DENTAL PLLC
Practice address
505 Commerce Way
Cloquet, MN 55720-5572
Phone
(218) 310-4944
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wendy Peterson, DMDNPI 1427549674
Title
Owner/Dentist
Phone
(218) 310-4944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

505 Commerce Way
Cloquet, MN 55720-5572

Mailing address

23 Thomson Rd
Esko, MN 55733-9632
Phone (218) 310-4944

National Provider Directory

National Provider Directory

Locations

505 Commerce Way
Cloquet, MN 55720
Phone (218) 310-4944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1013717289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 THOMSON RD",
            "city": "ESKO",
            "state": "MN",
            "postal_code": "557339632",
            "telephone_number": "218-310-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COMMERCE WAY",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557205572",
            "telephone_number": "218-310-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS AND WATER FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "218-310-4944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.