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DR. GREGORY JOHN POVOLNY D.D.S.
NPI 1376680009
Dentist - General Practice in Blaine, MN

Active since January 31, 2007
9120 BALTIMORE ST NE, BLAINE, MN 55449(763) 786-1560(763) 786-4390 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gregory John Povolny D.d.s. NPPES

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

DR. GREGORY JOHN POVOLNY D.D.S. (NPI 1376680009) is an individual general practice provider in Blaine, Minnesota, licensed in Minnesota (8811) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1376680009
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GREGORY JOHN POVOLNYCredential: D.D.S.
Location Address9120 BALTIMORE ST NEBlaine, MN 55449-4337
Mailing Address3527 Glen Oaks AveWhite Bear Lake, MN 55110-5661 · (651) 777-8427
Phone(763) 786-1560
Fax(763) 786-4390
Sole ProprietorYes
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376680009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 8811
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9120 BALTIMORE ST NE, Blaine, MN 55449
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN HAROLD TROSELIUS D.D.S.
Dentist (General Practice)
9120 BALTIMORE ST NE
BLAINE, MN 55449
Anoka County (763) 786-1560
DR. ANDREW THOMAS CHADBOURN DMD
Dentist
9120 BALTIMORE ST NE
BLAINE, MN 55449
Anoka County (763) 786-1560
NORTHPARK DENTAL
Dentist
9120 BALTIMORE ST NE
BLAINE, MN 55449
Anoka County (763) 786-1560
DR. PAUL WAYNE CHADBOURN D.D.S.
Dentist (General Practice)
9120 BALTIMORE ST NE
BLAINE, MN 55449
Anoka County (763) 786-1560

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 Gregory Povolny's NPI number?

The NPI number for Gregory Povolny is 1376680009. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Gregory Povolny located?

Gregory Povolny practices at 9120 Baltimore St NE, Blaine, MN 55449. The listed phone number is (763) 786-1560.

What is Gregory Povolny's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gregory Povolny was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.