Gavren, Beth Ann
Gavren, Beth Ann is an individual health care provider with primary practice located at 15785 95Th Ave N , Maple Grove MN 55369-4404. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Gavren, Beth Ann can be contacted via phone (763) 233-4141.Contact Information
Primary practice address
15785 95Th Ave N
Maple Grove MN 55369-4404
Phone: (763) 233-4141
Fax: (763) 420-5875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D11463 | Minnesota |
Profile Details
| NPI number | 1699764431 |
|---|---|
| LBN Legal business name | Gavren, Beth Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jun 28th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699764431 | NPPES |
| Minnesota | MEDICAID | 8068330-00 |
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