Garret Thorlakson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

122300000X Issued in MN

Practice address

1416 Central Ave NE
East Grand Forks, MN 56721-1605

Phone

(218) 773-3004

NPI assigned

Aug 26, 2020

Last updated

Sep 12, 2023By the provider in NPPES

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental GT

  • Dental Clinic/Center
  • East Grand Forks, MN
  • NPI 1265114060
  NPD Authorized official
• Applewhite Dental Minnesota, P.C.

  dba AppleWhite Dental Partners of Worthington

  • General Practice Dentistry
  • Worthington, MN
  • NPI 1205394079
  NPD (past)
• E.T. McNiece DDS, P.a.

  • Dentist
  • Worthington, MN
  • NPI 1043433048
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1104439454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CENTRAL AVE NE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211605",
            "telephone_number": "218-773-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 CENTRAL AVE NE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211605",
            "telephone_number": "218-773-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORLAKSON",
        "first_name": "GARRET",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2023-09-12",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "122300000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AppleWhite",
            "affiliation": "N",
            "address_1": "1027 2nd Ave",
            "city": "Worthington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561872380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RedRiverDental",
            "affiliation": "N",
            "address_1": "1416 Central Ave NE",
            "city": "East Grand Forks",
            "state": "MN",
            "country_code": "US",
            "postal_code": "567211605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce A. Storhaug, O.D.
• Toni Sturman, PT
• Dylan William Svobodny, LGSW
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Heritage Grove)
• David Michael Thorfinnson, DDS
• Valley Markets Inc (Hugos Family Pharmacy)
• Diane M Voeller, MD
• Walgreen Co (Walgreens # 21377)
• Julie Ann Wharam, PHARM D
• Audra Emma Williams

• General Practice Dentistry in East Grand Forks, MN
• Providers in East Grand Forks, 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 Sep 12, 2023; 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.