Organization Active NPI

Corner Oaks Family Dental PLLC

  • Dental Clinic/Center
  • Big Lake, MN
National Provider Identifier
1346049186
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CORNER OAKS FAMILY DENTAL PLLC
Practice address
290 Eagle Lake Rd N
Big Lake, MN 55309-9243
Phone
(763) 263-3262
NPI assigned
Mar 12, 2025
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Dr. Peter Kuefler, DDSNPI 1366050288
Title
Dentist Owner
Phone
(320) 247-3380

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 NU Primary

Addresses

Primary practice location

290 Eagle Lake Rd N
Big Lake, MN 55309-9243

Mailing address

6604 Jonquil Way
Maple Grove, MN 55369-6048
Phone (320) 247-3380

National Provider Directory

National Provider Directory

Locations

290 Eagle Lake Rd N
Big Lake, MN 55309
Phone (763) 263-3262

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1346049186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 JONQUIL WAY",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696048",
            "telephone_number": "320-247-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 EAGLE LAKE RD N",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553099243",
            "telephone_number": "763-263-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER OAKS FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "KUEFLER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "320-247-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.