Kurt S Potach, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

MN8894 Issued in MN

Practice address

607 1St Dr NW
Box 1064
Austin, MN 55912-3072

Phone

(507) 437-6312

Fax

(507) 437-4896

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1053473637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 1ST DR NW",
            "address_2": "BOX 1064",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123072",
            "telephone_number": "507-437-6312",
            "fax_number": "507-437-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 1ST DR NW",
            "address_2": "BOX 1064",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123072",
            "telephone_number": "507-437-6312",
            "fax_number": "507-437-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTACH",
        "first_name": "KURT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "MN8894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Nicole Plizga, MS RD LD
• Poc Home Health Agency
• Robin Lee Poczos, PA-C
• Jordan Thomas Pogalz
• Potach & Mitchell Dental Clinic PA
• Premise Health of Minnesota Medical P C
• Professional Speech Services LLC
• Zachary Prouty, DDS
• Kylie Pruett
• Lyle Prussman Jr., PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.