A Gentle Dental Center of Rogers
Organization Active NPI General Practice Dentistry · Rogers, MN
NPI 1124198635 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124198635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D11666 (MN)
- Legal business name
- A GENTLE DENTAL CENTER OF ROGERS
- Practice address
- 14115 James Rd
Suite 303
Rogers, MN 55374-9468 - Phone
- (763) 428-2226
- Fax
- (763) 428-3407
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jill Pucel Koopman, D.D.S.
- Title
- Owner
- Phone
- (763) 428-2226
Practitioners 1
National Provider Directory
Locations
14115 James Rd
Ste 303
Rogers, MN 55374
Phone (763) 428-2226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D11666 | MN | Yes |
Addresses
Primary practice location
14115 James Rd
Suite 303
Rogers, MN 55374-9468
Mailing address
14115 James Rd
Suite 303
Rogers, MN 55374-9468
Phone (763) 428-2226
Other providers in Rogers, MN
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- A Better Living Care Services, LLC
- Adoptive Steps Therapy Inc
- Aegis Group Practice LLC
- Affinity Living Assistance Co
- Rebecca Ann Ahlstrom
- Shamsa Ahmed
All providers in Rogers, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.