Individual provider Active NPI

Gary Dane Plotz Jr., D.D.S.

  • General Practice Dentistry
  • Slayton, MN
National Provider Identifier
1881639201
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12229 Issued in MN
Practice address
2711 Broadway Ave
Suite 100
Slayton, MN 56172-1313
Phone
(507) 836-1000
Fax
(507) 836-1008
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026000080 MN Order and Referring Only - DentistPractitioner - Dentist 9133407109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Murray County, Inc PastSince Jul 1, 2012 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12229 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

2711 Broadway Ave
Suite 100
Slayton, MN 56172-1313

Mailing address

2711 Broadway Ave
Suite 100
Slayton, MN 56172-1313
Phone (320) 266-0838

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881639201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 BROADWAY AVE",
            "address_2": "SUITE 100",
            "city": "SLAYTON",
            "state": "MN",
            "postal_code": "561721313",
            "telephone_number": "320-266-0838",
            "fax_number": "507-836-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 BROADWAY AVE",
            "address_2": "SUITE 100",
            "city": "SLAYTON",
            "state": "MN",
            "postal_code": "561721313",
            "telephone_number": "507-836-1000",
            "fax_number": "507-836-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTZ",
        "first_name": "GARY",
        "middle_name": "DANE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "12229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slayton, MN

Sources for this page

Verify at the official NPI Registry.