Jenna Susanne Gauger, ADT

Primary specialty

Dental TherapistTaxonomy code 125J00000X

License

DT55 Issued in MN

Practice address

2100 11TH St E
Glencoe, MN 55336-2625

Phone

(320) 864-3129

Fax

(320) 269-6408

NPI assigned

May 1, 2015

Last updated

Feb 23, 2022By the provider in NPPES

Sex

Female

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

Practice roles

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.

• David Burrichter, DDS, PLLC

  dba Main Street Dental Care

  • General Practice Dentistry
  • Montevideo, MN
  • NPI 1154972503
  NPD (past)
• Forever Smiles, PLLC

  • Dentist
  • Glencoe, MN
  • NPI 1134357833
  NPD (past)

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1124405857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SOUTH 1ST STREET",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "56265",
            "telephone_number": "320-269-6406",
            "fax_number": "320-269-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 11TH ST E",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362625",
            "telephone_number": "320-864-3129",
            "fax_number": "320-269-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGER",
        "first_name": "JENNA",
        "middle_name": "SUSANNE",
        "name_prefix": "Ms.",
        "credential": "ADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "MN",
            "license": "DT55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Floyd Forst, MPA-C
• Bryan James Fritsch, D.O.
• Angela Rose Fruetel
• Lianna Kae Garceau
• Scott Paul Gauer, DC
• Gerry's Vision Shoppe, Inc
• Glencoe Family Chiropractic, P.a.
• Glencoe Regional Health Services
• Glencoe Regional Health Services
• Glencoe Regional Health Services

• Dental Therapist in Glencoe, MN
• Providers in Glencoe, MN by specialty
• Dental Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.