Gregory Bruce Kjellberg, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9918 Issued in MN

Practice address

127 N Broadway St
PO 848
New Ulm, MN 56073-1715

Phone

(507) 233-9400

NPI assigned

Oct 10, 2005

Sex

Male

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)

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 and National Provider Directory roles.

• New Ulm Dental Clinic

  • General Practice Dentistry
  • New Ulm, MN
  • NPI 1023172251
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174511570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 JONATHAN DR",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733343",
            "telephone_number": "507-354-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N BROADWAY ST",
            "address_2": "PO 848",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731715",
            "telephone_number": "507-233-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJELLBERG",
        "first_name": "GREGORY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Kiecker
• Tawanna N King, M.D.
• Cole James Kircher, DO
• David Harris Kirkhoff, DDS
• Anna Marie Kirkman, MA LP
• Morgan Klein
• Morgan Klingler, PTA
• Francille A Knowles, MD
• Terence J Knowles, MD
• Skye Koch, RD, LD

• General Practice Dentistry in New Ulm, MN
• Providers in New Ulm, 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 Jul 13, 2026; 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.