G2 Dental

Dentist · Forest Lake, MN

Organization Active NPI

NPI number 1790776144

Practice location

1068 Lake St S
#209
Forest Lake, MN 55025-2639
Phone
(651) 464-2248
Fax
(651) 464-7944

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NPI record

NPI
1790776144
Entity type
Organization (Type 2)
Enumeration date
November 3, 2005
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 8009 MN
Dentist 122300000X 8109 MN
Dentist 122300000X 9975 MN
Dentist 122300000X 11691 MN

Authorized official

Name
Ms. Tracey M Koch
Title
Office Manager
Phone
(651) 464-2248

About G2 Dental

G2 Dental is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1068 Lake St S, #209, Forest Lake, MN 55025-2639. The NPI number 1790776144 was assigned on November 3, 2005 and the record was last updated on August 22, 2020.

G2 Dental lists 4 licenses in the registry: #8009 (MN) for Dentist; #8109 (MN) for Dentist; #9975 (MN) for Dentist; #11691 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Ms. Tracey M Koch, Office Manager.

Frequently asked questions

What is the NPI number of G2 Dental?

The NPI number is 1790776144.

What is the phone number of G2 Dental?

The phone number listed for the practice location is (651) 464-2248.

Where is G2 Dental located?

1068 Lake St S, #209, Forest Lake, MN 55025-2639.

What is the taxonomy code for G2 Dental?

The primary taxonomy code is 122300000X – Dentist; 3 more listed above.

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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