G2 South is a Dentist in Inver Grove Heights, Minnesota. G2 South practices all healthcare services and medical treatments related to Dentist. The NPI Number for G2 South is 1821079583. The last update date is 2020-08-22.
G2 South's current location address is 5846 Blackshire Path, Inver Grove Heights, Minnesota. You can contact this provider via phone number 6513891133 and fax number 6513891135. The mailing address for G2 South is 5846 Blackshire Path, Inver Grove Heights, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | G2 South |
|---|---|
| Address | 5846 Blackshire Path, Inver Grove Heights, Minnesota |
| Phone Number | 6513891133 |
| Fax Number | 6513891135 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Koctt M Tracey |
| Telephone Number | 6513891133 |
NPI Number Detail
| NPI Number | 1821079583 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5846 Blackshire Path |
|---|---|
| City | Inver Grove Heights |
| State | Minnesota (MN) |
| Post Code | 55016 |
| Phone Number | 6513891133 |
| Fax Number | 6513891135 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9975 |
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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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What is the G2 South's unique identification number?
The G2 South has been assigned the NPI (National Provider Identifier) Number 1821079583 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where G2 South's facilities are situated?
The facilities of G2 South are physically located at the following address: 5846 Blackshire Path, Inver Grove Heights, MN, 55016.
What is the G2 South's specialty and taxonomy code?
The G2 South's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did G2 South receive its 1821079583 assignment from the Centers for Medicare & Medicaid Services?
The G2 South was assigned its 1821079583 on 2005-11-09, 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 South, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to G2 South, 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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