Gesica Tenel Horn, DDS
Individual provider Active NPI Dentist · North Oaks, MN
NPI 1700980455 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700980455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 11597 (MN)
- Practice address
- 400 Village Center Drive
Suite 100
North Oaks, MN 55127-7203 - Phone
- (651) 288-3111
- Fax
- (651) 288-3113
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Oaks Dental | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11597 | MN | Yes |
Addresses
Primary practice location
400 Village Center Drive
Suite 100
North Oaks, MN 55127-7203
Mailing address
400 Village Center Drive
Suite 100
North Oakes, MN 55512-7203
Phone (651) 288-3111
Other providers in North Oaks, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.