G2 Dental in Forest Lake - Dentist

G2 Dental - NPI 1790776144

G2 Dental is a Dentist in Forest Lake, Minnesota. G2 Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for G2 Dental is 1790776144. The last update date is 2020-08-22.

G2 Dental's current location address is 1068 Lake St S, Forest Lake, Minnesota. You can contact this provider via phone number 6514642248 and fax number 6514647944. The mailing address for G2 Dental is 1068 Lake St S, Forest Lake, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization G2 Dental
Address 1068 Lake St S, Forest Lake, Minnesota
Phone Number 6514642248
Fax Number 6514647944
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Koch M Tracey
Telephone Number 6514642248

NPI Number Detail

NPI Number 1790776144
Provider Enumeration Date 2005-11-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1068 Lake St S
City Forest Lake
State Minnesota (MN)
Post Code 550252639
Phone Number 6514642248
Fax Number 6514647944

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 8109
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about G2 Dental

What is the unique 10-digit identifier code assigned to G2 Dental by the Centers for Medicare & Medicaid Services?

The G2 Dental has been issued the NPI (National Provider Identifier) 1790776144 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where G2 Dental is geographically located?

The G2 Dental is physically situated at the following location: 1068 Lake St S, Forest Lake, MN, 550252639.

What is G2 Dental's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The G2 Dental's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did G2 Dental receive its 1790776144 assignment from the Centers for Medicare & Medicaid Services?

The G2 Dental was assigned its 1790776144 on 2005-11-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding G2 Dental, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to G2 Dental, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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