G2 Dental
G2 Dental is a healthcare organization registered as Dentist in Forest Lake, MN, holding Type 2 (organization) NPI 1790776144 since 2005. The authorized official on file is Tracey Koch, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790776144 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | G2 Dental |
| Practice address | 1068 LAKE ST S, #209, Forest Lake, MN, 55025 |
| Phone | 6514642248 |
| Fax | 6514647944 |
| Enumeration date | 2005-11-03 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Tracey Koch |
|---|---|
| Title | Office Manager |
| Phone | 6514642248 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Secondary | 8109 | MN |
| 122300000X | Dentist | Secondary | 9975 | MN |
| 122300000X | Dentist | Secondary | 11691 | MN |
| 122300000X | Dentist | Primary | 8009 | MN |
Copy-ready billing details
Provider: G2 Dental NPI: 1790776144 Taxonomy: 122300000X (Dentist) Address: 1068 LAKE ST S, #209, Forest Lake, MN, 55025
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1770588188 | William Stackpole | Individual | General Practice Dentistry | Forest Lake, MN |
| 1043382807 | Nancy Hertz | Individual | Marriage & Family Therapist | Forest Lake, MN |
| 1124183314 | East Central Audiology, Ltd | Organization | Audiologist | Forest Lake, MN |
| 1477607075 | Gregory Ross | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | Forest Lake, MN |
| 1801929914 | Bridges and Pathways Counseling Services Inc. | Organization | Clinical Social Worker | Forest Lake, MN |
| 1609091008 | Life Roads, LLC | Organization | Marriage & Family Therapist | Forest Lake, MN |
| 1558583179 | Michael Poindexter | Individual | Marriage & Family Therapist | Forest Lake, MN |
| 1821275686 | Sarah Yackley-Ploeger | Individual | Chiropractor | Forest Lake, MN |
Verify this record
Cross-check NPI 1790776144 against the authoritative CMS record: view G2 Dental on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for G2 Dental?
Who is the authorized official for G2 Dental?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.