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Family & Cosmetic Gentle Dentistry

General Practice Dentistry in Spring Park, MN · enumerated 2007 · authorized official Diana Gavic, Operations Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790967248

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Family & Cosmetic Gentle Dentistry
Parent organization Family & Cosmetic Gentle Dentistry
Practice address 4787 Shoreline Dr, Spring Park, MN, 55384
Fax (952) 471-1046
Enumeration date Nov 27, 2007
Last updated in NPPES Jun 20, 2008

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Diana Gavic
Title Operations Manager

Other identifiers

Identifier Type State Issuer
318092100 Medicaid MN -

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.

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Frequently asked questions

Where is Family & Cosmetic Gentle Dentistry located?
The practice location on file with NPPES is in Spring Park, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-20. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-20.