VIRGINIA/GILBERT FAMILY DENTAL (NPI# 1790012847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790012847 |
| Entity Type | Organization |
| Organization Name | VIRGINIA/GILBERT FAMILY DENTAL |
| Other Organization Name | ERICKSON HOLBECK ZUPANCIC DENTAL/GILBERT DENTAL SERVICE P.A. |
| Practice Address |
12 North Broadway Gilbert MN 55741 |
| Mailing Address |
P.o. Box 608 Virginia/gilbert Family Dental Gilbert MN 55741 |
| Practice Telephone | 2187415357 |
| Practice Fax Number | 2187415455 |
| Mailing Telephone | 2187415357 |
| Mailing Fax Number | 2187415455 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |
| Authorized Official Name | DR. MARK A. ERICKSON (PRESIDENT) |
| Authorized Official Telephone | 2187415357 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | VIRGINIA/GILBERT FAMILY DENTAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| STATE OF MINNESOTA | 10580600700 | 01 |
| Other Name | Type Code |
|---|---|
| Erickson Holbeck Zupancic Dental/Gilbert Dental Service P.A. | Former Legal Business Name - Organization |
| Street Address |
12 NORTH BROADWAY |
| City | GILBERT |
| State | MN |
| Zip Code | 55741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164568200 | Gilbert Dental Service P.a. | Dentist | 12 North Broadway, Gilbert, MN 55741-0608 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861831125 | Whitney E. Cobby | Dentist | 12 N Broadway Ave, Gilbert, MN 55741-5007 | 2013-06-20 |
| 1760837082 | Kathryn Pearson-brevik | Exclusive Provider Organization | 6483 Heritage Trl, Gilbert, MN 55741-8029 | 2016-04-25 |
| 1114313897 | Kaylen Erchul | Specialist/Technologist | 6593 Sandy Ln, Gilbert, MN 55741-8261 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326876 | Nicole Francisca Roberts | Family Medicine | 1449 S Monterey St, Gilbert, AZ 85233-8436 | 2020-11-08 |
| 1598366767 | Meta Alpha Galabe | Registered Nurse | 4447 S Rock St, Gilbert, AZ 85297-4557 | 2020-11-04 |
| 1467053553 | Rachel Rt Wybron | Registered Nurse | 3317 S Higley Rd Ste 114-321, Gilbert, AZ 85297-5474 | 2020-11-04 |
| 1952902298 | Karissa Lynn Whitlatch | Counselor | 3651 E Baseline Rd Ste E120, Gilbert, AZ 85234-2689 | 2020-11-03 |
| 1699374371 | Kelley Brooke Corl | Nurse Practitioner | 872 S Pheasant Dr, Gilbert, AZ 85296-0440 | 2020-10-22 |
| 1831798073 | Vanessa Alfaro | Registered Nurse | 2085 S Voyager Dr, Gilbert, AZ 85295-5638 | 2020-10-20 |
| 1134728322 | Ashley Nichole Carter | Technician | 2413 Browning Frk, Gilbert, WV 25621-3239 | 2020-10-20 |
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1982203261 | Auxo Therapy LLC | Physical Therapist | 4140 E Sidewinder Ct, Gilbert, AZ 85297-8368 | 2020-10-19 |
| Find all providers in GILBERT | ||||
| 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 |
|---|---|---|---|---|
| 1396362745 | Tracy Gerona | Dentist | 2885 E Weather Vane Rd, Gilbert, AZ 85296-9447 | 2020-07-01 |
| 1194363069 | Precision Dental Center Pllc | Dentist | 3885 S Val Vista Dr Ste 106, Gilbert, AZ 85297-7314 | 2019-12-11 |
| 1659863975 | Jonathan J Zuniga | Dentist | 33 N Lindsay Rd Ste 101, Gilbert, AZ 85234-5808 | 2018-06-01 |
| 1285172551 | Premier Family Dental Holdings LLC | Dentist | 3050 E Chandler Heights Rd, Ste 105, Gilbert, AZ 85290 | 2017-02-07 |
| 1710435490 | Daniel Masters | Dentist | 875 N Greenfield Rd Ste 114, Gilbert, AZ 85234-5044 | 2016-09-12 |
| 1629426507 | Progressive Sleep & Wellness Pllc | Dentist | 3303 E Baseline Rd Ste 105, Gilbert, AZ 85234-2739 | 2016-06-01 |
| 1861860488 | Gilbert Dental Professionals | Dentist | 110 S Val Vista Dr, Suite B-7, Gilbert, AZ 85296-1373 | 2015-09-14 |
| 1881076370 | Brodie Cook | Dentist | 3558 E Windsor Dr, Gilbert, AZ 85296-7397 | 2015-06-22 |
| 1427439405 | Adam Proctor | Dentist | 3338 E Sheffield Rd, Gilbert, AZ 85296-7384 | 2015-06-15 |
| 1649601014 | Fulcher Dental Plc | Dentist | 1166 S Gilbert Rd Ste 117, Gilbert, AZ 85296-3462 | 2013-12-10 |
| Find all providers in GILBERT | ||||
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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.