George Dental Apple Valley PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GEORGE DENTAL APPLE VALLEY PA

Practice address

14135 Cedar Ave
Suite 500
Apple Valley, MN 55124-4522

Phone

(952) 891-4611

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Barb King

Title

Clinical Operations Manager

Phone

(651) 287-3729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1639626773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14135 CEDAR AVENUE S.",
            "address_2": "SUITE 500",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "55124",
            "telephone_number": "952-891-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 CEDAR AVE",
            "address_2": "SUITE 500",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244522",
            "telephone_number": "952-891-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE DENTAL APPLE VALLEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "BARB",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "651-287-3729"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Gallucci
• Jamie Gamache, MD
• Sarah Anne Gamoke, DC
• Trevor Anthony Garski, OTR/L
• Gentle Haven
• Ashley Gerdes, PMHNP-BC
• Paul B. Gersmeyer, DDS
• Abigail Rayna Ghylin, PA-S
• Lauren Elizabeth Gibbons, MS, PA-C
• Morgan Kennedy Gietzen, DC

• General Practice Dentistry in Apple Valley, MN
• Providers in Apple Valley, 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 Sep 7, 2016; 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.