DR. GERALD RAYMOND OLIVER (NPI# 1730277955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730277955 |
| Entity Type | Individual |
| Full Name | DR. GERALD RAYMOND OLIVER |
| Credential | DDS |
| Practice Address |
19835 400th St Pelican Rapids MN 56572-7628 |
| Practice Telephone | 2188636789 |
| Practice Fax Number | 2188636788 |
| Mailing Telephone | 2188636789 |
| Mailing Fax Number | 2188636788 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10294 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578674479 | Gerald D Oliver | Internal Medicine | 1055a Silver Bluff Rd, Aiken, SC 29803-5884 | 2006-08-31 |
| 1407843865 | Gerald R Oliver | Family Medicine | 12210 W 87th St, Lenexa, KS 66215-2812 | 2005-09-30 |
| Street Address |
19835 400TH ST |
| City | PELICAN RAPIDS |
| State | MN |
| Zip Code | 56572-7628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073082202 | Timothy Scott Teig | Social Worker | 47847 Henry Hill Lane, Pelican Rapids, MN 56572 | 2018-11-16 |
| 1568626802 | Marilyn Kay Welke | Physical Therapist | 211 E. Mill St., Pelican Rapids, MN 56572 | 2008-07-16 |
| 1326128190 | Donald J Lundrigan | Dentist | 10 1st St Se, Pelican Rapids, MN 56572 | 2006-10-16 |
| 1417062969 | David Michael Ditch | Dentist | 28 E Mill St, Pelican Rapids, MN 56572 | 2006-08-21 |
| 1053426171 | David Wayne Gottenborg | Chiropractor | 12 5th Ave. Ne, Pelican Rapids, MN 56572 | 2006-08-20 |
| 1598789893 | Jeffrey Lee Mackner | Optometrist | 20 South Broadway, Pelican Rapids, MN 56572 | 2006-07-27 |
| 1548431950 | Danelle H Kosciarz | Occupational Therapist | 211 E Mill St, Pelican Rapids, MN 56572 | 2008-03-13 |
| 1417135807 | Monica Martha Leslie | Occupational Therapist | 211 East Mill Street, Pelican Rapids, MN 56572 | 2008-02-07 |
| 1679766802 | Rehabplus and Fitness | Clinic/Center | 46 N Broadway, Pelican Rapids, MN 56572 | 2007-08-21 |
| 1770701047 | Minnesota Eyecare Network, Inc. | Eyewear Supplier (Equipment, not the service) | 20 South Broadway, Pelican Rapids, MN 56572 | 2007-04-23 |
| Find all providers in zip 56572 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417062969 | David Michael Ditch | Dentist | 28 E Mill St, Pelican Rapids, MN 56572 | 2006-08-21 |
| 1952967556 | Emily Beatrice Ditch | Dentist | 28 E Mill Ave, Pelican Rapids, MN 56572-4229 | 2019-05-20 |
| 1699265561 | Daniel Ditch | Dentist | 28 E Mill Ave Ste 1, Pelican Rapids, MN 56572-4229 | 2018-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | PELICAN RAPIDS |
| Zip Code | 56572 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.