DR. ALYSSA LYNN GULLICKSON D.D.S.
NPI 1013277094
Dentist in Avon, MN

Q: What is Alyssa Gullickson's NPI number?

The NPI number for Alyssa Gullickson is 1013277094. It was assigned to this individual provider in the NPPES registry on May 23, 2012. The provider is also known as Ms. Alyssa Lynn Brown.

Q: What is Alyssa Gullickson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Gullickson was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2012PECOS Enrolled

308 BLATTNER DR, SUITE A, AVON, MN 56310(320) 356-7374(320) 356-9427 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Alyssa Lynn Gullickson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALYSSA LYNN GULLICKSON D.D.S. (NPI 1013277094) is an individual dentist in Avon, Minnesota, licensed in Minnesota (D13077) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013277094

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. ALYSSA LYNN GULLICKSONCredential: D.D.S.

Location Address308 BLATTNER DR, SUITE AAvon, MN 56310-4531

Mailing Address23665 N Lakeshore DrGlenwood, MN 56334-9375 · (320) 808-4126

Phone(320) 356-7374

Fax(320) 356-9427

Sole ProprietorNo

Enumeration DateMay 23, 2012

✔ NPI 1013277094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D13077

Definition

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.

308 BLATTNER DR, Avon, MN 56310

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Other Names 1

Former Name (1)Ms. Alyssa Lynn Brown

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alyssa Lynn Gullickson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Gullickson's NPI number?

The NPI number for Alyssa Gullickson is 1013277094. It was assigned to this individual provider in the NPPES registry on May 23, 2012. The provider is also known as Ms. Alyssa Lynn Brown.

Where is Alyssa Gullickson located?

Alyssa Gullickson practices at 308 Blattner Dr Suite A, Avon, MN 56310. The listed phone number is (320) 356-7374.

What is Alyssa Gullickson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Alyssa Gullickson enrolled in Medicare?

Yes. Alyssa Gullickson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Gullickson was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.