Organization
GROUP HEALTH PLAN, INC
Active
Other names
HealthPartners Plymouth Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S GESKO DDS (SENIOR VP/DENTAL DIRECTOR)
(952) 883-7577
Entity
Organization
Contact information
Practice address
4155 COUNTY RD 101 N, PLYMOUTH, MN 55446-2308
(952) 977-3000
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 883-5151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12465
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12245
MN
Other
Enumeration date
10/06/2014
Last updated
10/13/2014
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