Alex W Scott DMD PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ALEX W SCOTT DMD PLLC

Doing business as

Glen Lake Family Dentistry

Practice address

5509 Eden Prairie Road
Suite a
Minnetonka, MN 55345

Phone

(952) 938-6038

Fax

(952) 935-9175

NPI assigned

Jun 23, 2021

Last updated

Oct 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex ScottNPI 1003308388

Title

Owner

Phone

(952) 938-6038

Specialties & licenses 2

Addresses

Other names 1

• Glen Lake Family Dentistry Doing business as

Locations

Practitioners 1

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.

• Alex William Scott, DMD

  • Dentist
  • Minnetonka, MN
  • NPI 1003308388
  NPD Authorized official

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1679142673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 EDEN PRAIRIE ROAD",
            "address_2": "SUITE A",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55345",
            "telephone_number": "952-938-6038",
            "fax_number": "952-935-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 EDEN PRAIRIE ROAD",
            "address_2": "SUITE A",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55345",
            "telephone_number": "952-938-6038",
            "fax_number": "952-935-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX W SCOTT DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-938-6038"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Lake Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Aines, APRN
• Olawaye Akinrolabu, MS-ABA
• Albayt Services LLC
• Victoria Albright, IBCLC
• Angela Albro
• Shona R. Alexander, NP-C
• Abdirahman Ali
• Anisa Abdirashid Ali
• Ansaar Ali
• Iqra Ali

• Dentist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.