Gentle Dentistry of Minnesota, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GENTLE DENTISTRY OF MINNESOTA, LTD

Practice address

8074 Old Carriage CT
Shakopee, MN 55379

Phone

(952) 746-0808

Fax

(952) 746-0866

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert Luther Bodin, DDS

Title

Ceo

Phone

(952) 224-9770

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Christenson

  • General Practice Dentistry
  • Shakopee, MN
  • NPI 1851919161
  NPD (past)
• Mark Joseph Elvecrog, D.D.S

  • General Practice Dentistry
  • Shakopee, MN
  • NPI 1215085055
  NPD (past)
• Michael William England, D.D.S.

  • General Practice Dentistry
  • Shakopee, MN
  • NPI 1225048663
  NPD (past)

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1083011928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SHORELINE DRIVE #4",
            "city": "SPRING PARK",
            "state": "MN",
            "postal_code": "55384",
            "telephone_number": "952-224-9783",
            "fax_number": "952-746-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8074 OLD CARRIAGE CT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "55379",
            "telephone_number": "952-746-0808",
            "fax_number": "952-746-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTISTRY OF MINNESOTA, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "BODIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LUTHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-224-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devona Garcia-Lord, PSY.D., LP
• Gina Marvene Garrett, MSW, LICSW
• Lisa J Gears, MD
• Lydia Geary, MSOT
• Genesis Assisted Living LLC
• Megan Ghant
• Diana Renee Ghekiere, PTA
• Megan Giesen, M.A.
• David Gilman, LADC
• David Girin

• General Practice Dentistry in Shakopee, MN
• Providers in Shakopee, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.