Gilbert Dental Service P.a.

Organization Active NPI General Practice Dentistry · Gilbert, MN

NPI 1164568200 · NPPES record last updated Jun 21, 2018

Key facts

NPI
1164568200
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
4616767 (MN)
Legal business name
GILBERT DENTAL SERVICE P.A.
Practice address
12 North Broadway
Gilbert, MN 55741-0608
Phone
(218) 741-5357
Fax
(218) 741-5455
NPI assigned
Jan 29, 2007
Organization subpart
No

Authorized official

Name
Mrs. Joyce Elaine Roppe
Title
Business Manager
Phone
(218) 741-5357

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 4616767 MN Yes

Addresses

Primary practice location

12 North Broadway
Gilbert, MN 55741-0608

Mailing address

PO Box 608
12 North Broadway
Gilbert, MN 55741-0608
Phone (218) 741-5357

Other names

  • ERICKSON,HOLBECK.AND ZUPANCIC DENTAL Doing business as

Other providers in Gilbert, MN

All providers in Gilbert, MN · General Practice Dentistry in Minnesota

Sources for this page

Verify at the official NPI Registry.