Health Source Dental Clinic

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

HEALTH SOURCE DENTAL CLINIC

Practice address

140 Birch St. N
Suite 114
Cambridge, MN 55008

Phone

(763) 347-4399

Fax

(651) 431-7641

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Lynn Glancey, CFO

Title

Chief Financial Officer

Phone

(651) 539-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Michael Korleski, DDS

  • Dentist
  • Cambridge, MN
  • NPI 1972362457
  NPD (past)
• Justin Robert Scholl, RDH, RDA

  • Dental Hygienist
  • Cambridge, MN
  • NPI 1568351989
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1508962994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LABORE RD",
            "address_2": "SUITE 104",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105186",
            "telephone_number": "651-539-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BIRCH ST. N",
            "address_2": "SUITE 114",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "55008",
            "telephone_number": "763-347-4399",
            "fax_number": "651-431-7641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 State St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550085033",
            "country_code": "US",
            "telephone_number": "763-689-7306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH SOURCE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "GLANCEY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "651-539-7200",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366053200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Lee Haseltine, LADC
• Amy Lynn Haupert, MD
• Kimberly J Haycraft Schmotter, MD
• Stuart William Hazard, L.P.
• Health Dimensions Rehabilitation Inc
• Hailey Heckt
• Anna Rebecca Heffner
• Emily Jane Hein, PHARM.D.
• Carolyn Helland
• Josephine Zelma Helmbrecht, AUD

• Public Health Dentistry in Cambridge, MN
• Providers in Cambridge, MN by specialty
• Public Health Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.