Organization
GOSSAI & KNUTSON, DDS, PA
Active
Other names
Southill Dental Group PA
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA KOBS (OFFICE MANAGER)
(651) 439-9400
Entity
Organization
Contact information
Practice address
2850 CURVE CREST BLVD W, SUITE 200, STILLWATER, MN 55082-4039
(651) 439-9400
(651) 439-9402
Mailing address
2850 CURVE CREST BLVD W, SUITE 200, STILLWATER, MN 55082-4039
(651) 439-9400
(651) 439-9402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12778
MN
Other
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
Enumeration date
04/25/2007
Last updated
04/02/2013
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