Cathy Jo Gunvalson in Red Lake - Dental Hygienist
Cathy Jo Gunvalson - NPI 1659407112
Cathy Jo Gunvalson is a Dental Hygienist in Red Lake, Minnesota. Cathy Jo Gunvalson practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Cathy Jo Gunvalson is 1659407112. The last update date is 2007-07-09.
Cathy Jo Gunvalson's current location address is Hwy 1 And Lake St, Red Lake, Minnesota. You can contact this provider via phone number 2186793316 and fax number 2186793990. The mailing address for Cathy Jo Gunvalson is Hwy 1 And Lake St, Red Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cathy Jo Gunvalson |
|---|---|
| Address | Hwy 1 And Lake St, Red Lake, Minnesota |
| Phone Number | 2186793316 |
| Fax Number | 2186793990 |
| Sole Proprietor | Y |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1659407112 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Hwy 1 And Lake St |
|---|---|
| City | Red Lake |
| State | Minnesota (MN) |
| Post Code | 56644 |
| Phone Number | 2186793316 |
| Fax Number | 2186793990 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 3033 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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What is the unique 10-digit identifier code assigned to Cathy Jo Gunvalson by the Centers for Medicare & Medicaid Services?
The Cathy Jo Gunvalson has been issued the NPI (National Provider Identifier) 1659407112 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 location address where Cathy Jo Gunvalson's facilities are situated?
The facilities of Cathy Jo Gunvalson are physically located at the following address: Hwy 1 And Lake St, Red Lake, MN, 56644.
What is Cathy Jo Gunvalson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Cathy Jo Gunvalson is Dental Hygienist, and the taxonomy classification code that categorizes this area of expertise is 124Q00000X.
On what date was the 1659407112 assigned to Cathy Jo Gunvalson?
The Cathy Jo Gunvalson was issued its 1659407112 on 2007-02-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Cathy Jo Gunvalson's information last updated?
The Cathy Jo Gunvalson's information was last updated on 2007-07-09.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI