Alyssa Lynn Gullickson, D.D.S.
Dentist · Avon, MN
Practice location
308 Blattner DrSuite a
Avon, MN 56310-4531
- Phone
- (320) 356-7374
- Fax
- (320) 356-9427
NPI record
- NPI
- 1013277094
- Entity type
- Individual (Type 1)
- Enumeration date
- May 23, 2012
- Last updated
- May 23, 2012
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
D13077 | MN |
Mailing address
23665 N Lakeshore DrGlenwood, MN 56334-9375
- Phone
- (320) 808-4126
About Dr. Gullickson
Alyssa Lynn Gullickson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 308 Blattner Dr, Suite a, Avon, MN 56310-4531. The NPI number 1013277094 was assigned on May 23, 2012 and the record was last updated on May 23, 2012.
Dr. Gullickson lists a license in the registry: #D13077 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Alyssa Lynn Gullickson, D.D.S.?
The NPI number is 1013277094.
What is the phone number of Dr. Gullickson?
The phone number listed for the practice location is (320) 356-7374.
Where is Dr. Gullickson located?
308 Blattner Dr, Suite a, Avon, MN 56310-4531.
What is the taxonomy code for Dr. Gullickson?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Avon
- Nicolette Therese Porttiin, DDS308 Blattner Dr # a
- Kathleen M. Moen, DDS300 Avon Ave S