NPIMap

Organization Active NPI

A Gentle Dental Center P.a.

  • Dentist
  • Robbinsdale, MN
National Provider Identifier
1306933577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7592D Issued in MN
Legal business name
A GENTLE DENTAL CENTER P.A.
Practice address
4930 42ND Ave N
Robbinsdale, MN 55422-1731
Phone
(763) 537-4531
NPI assigned
Oct 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William F Pucel, D.D.S.NPI 1710074984
Title
President
Phone
(763) 537-4531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7592D MN Primary

Addresses

Primary practice location

4930 42ND Ave N
Robbinsdale, MN 55422-1731

Mailing address

4930 42ND Ave N
Robbinsdale, MN 55422-1731
Phone (763) 537-4531

National Provider Directory

National Provider Directory

Locations

4930 42nd Ave N
Robbinsdale, MN 55422
Phone (763) 245-2860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306933577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 42ND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221731",
            "telephone_number": "763-537-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 42ND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221731",
            "telephone_number": "763-537-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A GENTLE DENTAL CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUCEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-537-4531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "7592D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.