DR. ALYSSA LYNN GULLICKSON (NPI# 1013277094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013277094 |
| Entity Type | Individual |
| Full Name | DR. ALYSSA LYNN GULLICKSON |
| Other Name | MS. ALYSSA LYNN BROWN |
| Credential | D.D.S. |
| Practice Address |
308 Blattner Dr Suite A Avon MN 56310-4531 |
| Mailing Address |
23665 N Lakeshore Dr Glenwood MN 56334-9375 |
| Practice Telephone | 3203567374 |
| Practice Fax Number | 3203569427 |
| Mailing Telephone | 3208084126 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D13077 | MN | Dental Providers |
| Street Address |
308 BLATTNER DR SUITE A |
| City | AVON |
| State | MN |
| Zip Code | 56310-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922137447 | Avon Dental Clinic Pa | Dentist | 308a Blattner Drive, Avon, MN 56310 | 2007-03-02 |
| 1033482583 | Central Minnesota Alarms, Inc | Emergency Response System Companies | 115 1st Street Ne, Avon, MN 56310-0257 | 2012-02-14 |
| 1184260705 | Keith Joseph Sand | Durable Medical Equipment & Medical Supplies | 12195 Norway Rd, Avon, MN 56310-4502 | 2019-11-19 |
| 1225675739 | Sand Pine Pheasants Family Recreation LLC | Durable Medical Equipment & Medical Supplies | 12195 Norway Rd, Avon, MN 56310-4502 | 2019-12-03 |
| 1710128772 | Regional Health Center of Avon, Inc. | Chiropractor | 300 Avon Ave S, Suite F, Avon, MN 56310-4528 | 2009-03-20 |
| 1932368883 | Regional Health Center of Avon, LLC | Chiropractor | 300 Avon Ave S, Suite F, Avon, MN 56310-4528 | 2008-06-05 |
| 1629209226 | Minnesota Orthotics | Durable Medical Equipment & Medical Supplies | 108 Avon Ave N, Avon, MN 56310-8515 | 2009-07-30 |
| 1891785226 | Kathleen M Moen | Dentist | 300 Avon Ave S, Suite F, Avon, MN 56310-8516 | 2005-10-26 |
| 1922365865 | K & S Pharmacy Ltd | Pharmacy | 107 Avon Ave S Ste 1, Avon, MN 56310-8517 | 2012-04-17 |
| 1598776999 | Kathleen Alice Beuning | Nurse Practitioner | 37905 186th Avenue, Avon, MN 56310-8704 | 2006-08-10 |
| Find all providers in zip 56310 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354310 | Smileez | Dentist | 1 Darling Dr, Avon, CT 06001-4277 | 2020-10-21 |
| 1467076182 | Melina Bjornson | Dentist | 50 Buck Creek Rd #305, Avon, CO 81620 | 2020-05-29 |
| 1669005229 | Nicholas Brassard | Dentist | 8244 E Us Highway 36 Ste 1330, Avon, IN 46123-9688 | 2020-02-21 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1023503109 | Ashley Elizabeth Bensen | Dentist | 7800 E Us Highway 36, Avon, IN 46123-7156 | 2018-06-29 |
| 1609369495 | Kyle Joseph Radin | Dentist | 36855 American Way Ste 2a, Avon, OH 44011-4055 | 2018-06-07 |
| 1659824423 | Bethany Zembiec-wheeler | Dentist | 520 Dream Valley Blvd, Avon, NY 14414-1472 | 2016-07-28 |
| 1508245036 | Juan Esteban Velez | Dentist | 5055 E Us Highway 36 Ste 101, Avon, IN 46123-6533 | 2015-05-29 |
| 1881084432 | Sharlene Marty | Dentist | 36388 Detroit Road, Avon, OH 44011-1588 | 2015-02-03 |
| 1992133052 | Vail Valley LLC | Dentist | 0101 Fawcett Rd, Unit 170, Avon, CO 81620 | 2013-10-28 |
| Find all providers in AVON | ||||
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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.