# GOSSAI & KNUTSON, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southill Dental Group PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770702714
- **Authorized official:** DONNA KOBS (OFFICE MANAGER)
- **Authorized official phone:** (651) 439-9400

## Contact information

- **Practice address:** 2850 CURVE CREST BLVD W, SUITE 200, STILLWATER, MN 55082-4039
- **Practice address phone:** (651) 439-9400
- **Practice address fax:** (651) 439-9402
- **Mailing address:** 2850 CURVE CREST BLVD W, SUITE 200, STILLWATER, MN 55082-4039
- **Mailing address phone:** (651) 439-9400
- **Mailing address fax:** (651) 439-9402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12778 | MN | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 04/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1184616005 | NPI - FLODIN | MN |
| 01 | — | 1477692903 | NPI KNUTSON | — |
| 05 | — | 1477692903 | — | MN |
| 01 | — | 1831419209 | NPI GOSSAI | — |
| 05 | — | 1831419209 | — | MN |
| 01 | — | 18386 | H. PARTNER ID - FLODIN | MN |
| 05 | — | 293218100 | — | MN |
| 05 | — | 9909 | — | MN |