Gilbert Dental Service P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4616767 Issued in MN

Legal business name

GILBERT DENTAL SERVICE P.A.

Doing business as

Erickson,Holbeck.and Zupancic Dental

Practice address

12 North Broadway
Gilbert, MN 55741-0608

Phone

(218) 741-5357

Fax

(218) 741-5455

NPI assigned

Jan 29, 2007

Last updated

Jun 21, 2018By 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

Mrs. Joyce Elaine Roppe

Title

Business Manager

Phone

(218) 741-5357

Specialties & licenses 1

Addresses

Other names 1

• ERICKSON,HOLBECK.AND ZUPANCIC DENTAL Doing business as

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1164568200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "address_2": "12 NORTH BROADWAY",
            "city": "GILBERT",
            "state": "MN",
            "postal_code": "557410608",
            "telephone_number": "218-741-5357",
            "fax_number": "218-741-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NORTH BROADWAY",
            "city": "GILBERT",
            "state": "MN",
            "postal_code": "557410608",
            "telephone_number": "218-741-5357",
            "fax_number": "218-741-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT DENTAL SERVICE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ROPPE",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "218-741-5357",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "4616767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERICKSON,HOLBECK.AND ZUPANCIC DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashleigh Burgess
• Kimberly Dawn Chaffee
• Whitney E. Cobby, D.M.D.
• Kaylen Erchul
• Cassandra Marie Matteson, NP
• Kathryn Pearson-Brevik
• Rosemary E Skriver, LDH, ADT
• Virginia/Gilbert Family Dental

• General Practice Dentistry in Gilbert, MN
• Providers in Gilbert, 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 Jun 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.