Gary Ralph Smisek, D.D.S.

General Practice Dentistry · Shoreview, MN

Individual Active NPI

NPI number 1457322489

Practice location

501 Tanglewood Dr
Shoreview, MN 55126-2016
Phone
(651) 483-6747
Fax
(707) 760-4579

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NPI record

NPI
1457322489
Entity type
Individual (Type 1)
Enumeration date
January 28, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 7909 MN

Mailing address

1986 Sharondale Ave
Roseville, MN 55113-5437
Phone
(651) 636-4063
Fax
(170) 776-0457

About Dr. Smisek

Gary Ralph Smisek, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 501 Tanglewood Dr, Shoreview, MN 55126-2016. The NPI number 1457322489 was assigned on January 28, 2006 and the record was last updated on July 8, 2007.

Dr. Smisek lists a license in the registry: #7909 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Ralph Smisek, D.D.S.?

The NPI number is 1457322489.

What is the phone number of Dr. Smisek?

The phone number listed for the practice location is (651) 483-6747.

Where is Dr. Smisek located?

501 Tanglewood Dr, Shoreview, MN 55126-2016.

What is the taxonomy code for Dr. Smisek?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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