G2 SOUTH (NPI# 1821079583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821079583 |
| Entity Type | Organization |
| Organization Name | G2 SOUTH |
| Practice Address |
5846 Blackshire Path Inver Grove Heights MN 55016 |
| Practice Telephone | 6513891133 |
| Practice Fax Number | 6513891135 |
| Mailing Telephone | 6513891133 |
| Mailing Fax Number | 6513891135 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TRACEY M KOCTT (PRACTICE MANAGER) |
| Authorized Official Telephone | 6513891133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 9975 | MN | Dental Providers |
| Y | 122300000X | Dentist | 8109 | MN | Dental Providers |
| Street Address |
5846 BLACKSHIRE PATH |
| City | INVER GROVE HEIGHTS |
| State | MN |
| Zip Code | 55016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023127388 | G2 South Pllc | Dentist | 5846 Blackshire Path, Inver Grove Heights, MN 55076 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| 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 |
|---|---|---|---|---|
| 1508109810 | Vladimir Leon Salazar | Dentist | 5870 Blackshire Path, Inver Grove Heights, MN 55076-1620 | 2013-04-04 |
| 1194820498 | Brian Kraby | Dentist | 9042 Cahill Ave, Inver Grove Heights, MN 55076-3543 | 2006-09-13 |
| 1891777454 | Carrie Buerman Peroutka | Dentist | 6105 Cahill Ave E, Inver Grove Heights, MN 55076-1525 | 2005-11-18 |
| 1013999309 | Patricia B Ura | Dentist | 6105 Cahill Ave, Inver Grove Heights, MN 55076-1525 | 2005-11-14 |
| 1942282231 | Bradley Duane Swingdorf | Dentist | 6105 Cahill Avenue East, Inver Grove Heights, MN 55076-1308 | 2005-11-14 |
| 1295343952 | Tanner Berg | Dentist | 5350 S Robert Trl, Inver Grove Heights, MN 55077-1404 | 2020-07-20 |
| 1336705136 | Anna Marie Francke | Dentist | 6105 Cahill Ave, Inver Grove Heights, MN 55076-1525 | 2019-05-16 |
| 1700376969 | Tara Skelly Peterson | Dentist | 9042 Cahill Ave, Inver Grove Heights, MN 55076-3543 | 2018-05-14 |
| 1386166734 | Southridge Dental, Pa | Dentist | 1320 Mendota Rd, Inver Grove Heights, MN 55077-1255 | 2017-07-07 |
| 1619350006 | Katherine Rose Vaughan | Dentist | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2015-07-02 |
| Find all providers in INVER GROVE HEIGHTS | ||||
| City | INVER GROVE HEIGHTS |
| Zip Code | 55016 |
Please comment or provide details below to improve the information on G2 SOUTH.
| 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.