Beth Ann Gavren in Maple Grove - Oral And Maxillofacial Surgery
Beth Ann Gavren - NPI 1699764431
Beth Ann Gavren is a Oral And Maxillofacial Surgery in Maple Grove, Minnesota. Beth Ann Gavren practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Beth Ann Gavren is 1699764431. The last update date is 2013-06-28.
Beth Ann Gavren's current location address is 15785 95th Ave N, Maple Grove, Minnesota. You can contact this provider via phone number 7632334141 and fax number 7634205875. The mailing address for Beth Ann Gavren is 15785 95th Ave N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beth Ann Gavren |
|---|---|
| Address | 15785 95th Ave N, Maple Grove, Minnesota |
| Phone Number | 7632334141 |
| Fax Number | 7634205875 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1699764431 |
|---|---|
| Provider Enumeration Date | 2005-10-14 |
| Last Updated Date | 2013-06-28 |
Provider Mailing Address Detail
| Address | 15785 95th Ave N |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553694404 |
| Phone Number | 7632334141 |
| Fax Number | 7634205875 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D11463 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8068330-00 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Beth Ann Gavren by the Centers for Medicare & Medicaid Services?
The Beth Ann Gavren has been assigned the NPI (National Provider Identifier) 1699764431. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Beth Ann Gavren located?
The Beth Ann Gavren is located at 15785 95Th Ave N, Maple Grove, MN 553694404.
What is the Beth Ann Gavren's specialty and taxonomy code?
The Beth Ann Gavren's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699764431 to Beth Ann Gavren?
The Centers for Medicare & Medicaid Services originally issued the 1699764431 to Beth Ann Gavren on 2005-10-14.
As of what date were the Beth Ann Gavren's details last updated?
The information pertaining to the Beth Ann Gavren, including its address, specialty, and other details, was most recently updated on 2013-06-28.