Individual
GREGORY GEORGE HUBBARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
119 NE FIRST ST, STE 4, LITTLE FALLS, MN 56345
(320) 632-6621
(320) 632-1829
Mailing address
119 NE FIRST ST, STE 4, LITTLE FALLS, MN 56345
(320) 632-6621
(320) 632-1829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11367
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265
HEALTH PARTNERS
—
01
—
812989
UNITED OF CONCORDIA
—
01
—
85320FA
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/10/2006
Last updated
07/08/2007
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