Individual
STEPHEN EDWARD GADIENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
700 VILLAGE CENTER DR, SUITE 170, NORTH OAKS, MN 55127-3019
(651) 482-0065
(651) 482-6144
Mailing address
700 VILLAGE CENTER DR, SUITE 170, NORTH OAKS, MN 55127-3019
(651) 482-0065
(651) 482-6144
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
D8284
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C01337
MEDICARE GROUP NUMBER
MN
01
—
C01683
MEDICARE GROUP NUMBER
MN
Enumeration date
02/09/2006
Last updated
01/07/2008
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