Eveleth Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EVELETH DENTAL ASSOCIATES

Practice address

320 Grant Ave
Eveleth, MN 55734-1524

Phone

(218) 744-5440

Fax

(218) 744-5441

NPI assigned

Nov 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary E Epp, DDSNPI 1174866255

Title

Owner

Phone

(218) 744-5440

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Eugene Epp, DDS

  • Dentist
  • Eveleth, MN
  • NPI 1174866255
  NPD (past) Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114098720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 GRANT AVE",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557341524",
            "telephone_number": "218-744-5440",
            "fax_number": "218-744-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 GRANT AVE",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557341524",
            "telephone_number": "218-744-5440",
            "fax_number": "218-744-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELETH DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPP",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-744-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund W Draper, M.D.
• Judy A Dreffs Strumbell LCSW Licsw, LICSW
• East Range Academy of Science and Technology
• Ehsp, Inc (Fitzgerald Nursing Home and Rehab)
• Gary Eugene Epp, DDS
• Eveleth Hospital, Inc (Eveleth Health Services Park)
• Eveleth Mental Health Services Socs
• Matthew Arnold Gahn, O.D.
• John Tyler Garner, D.P.M.
• Independent School District #2154

• General Practice Dentistry in Eveleth, MN
• Providers in Eveleth, 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 Aug 22, 2020; 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.