Active NPI
Affordable Dentures & Implants - Duluth, P.C.
- General Practice Dentistry
- Duluth, MN
National Provider Identifier
1639901499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AFFORDABLE DENTURES & IMPLANTS - DULUTH, P.C.
- Practice address
- 4310 Menard Dr Ste 300
Duluth, MN 55811-1564 - Phone
- (218) 279-9985
- NPI assigned
- Aug 19, 2024
- Last updated
- Aug 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gianna Paola Koker, DDS
- Title
- Owner
- Phone
- (218) 279-9985
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
4310 Menard Dr Ste 300
Duluth, MN 55811-1564
Mailing address
4310 Menard Dr Ste 300
Duluth, MN 55811-1564
Phone (218) 279-9985
National Provider Directory
National Provider DirectoryLocations
4310 Menard Dr
Ste 300
Duluth, MN 55811
Phone (218) 279-9985
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.
-
- Dentist
- Duluth, MN
- NPI 1730538661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1639901499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 MENARD DR STE 300",
"city": "DULUTH",
"state": "MN",
"postal_code": "558111564",
"telephone_number": "218-279-9985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 MENARD DR STE 300",
"city": "DULUTH",
"state": "MN",
"postal_code": "558111564",
"telephone_number": "218-279-9985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFORDABLE DENTURES & IMPLANTS - DULUTH, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "KOKER",
"authorized_official_first_name": "GIANNA",
"authorized_official_middle_name": "PAOLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-279-9985",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.