DR. BETH ANN GAVREN DDS
NPI 1699764431
Dentist - Oral and Maxillofacial Surgery in Maple Grove, MN

Active since October 14, 2005PECOS Enrolled
15785 95TH AVE N, MAPLE GROVE, MN 55369(763) 233-4141(763) 420-5875 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Beth Ann Gavren Dds NPPES

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

DR. BETH ANN GAVREN DDS (NPI 1699764431) is an individual oral and maxillofacial surgery provider in Maple Grove, Minnesota, licensed in Minnesota (D11463) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699764431
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BETH ANN GAVRENCredential: DDS
Location Address15785 95TH AVE NMaple Grove, MN 55369-4404
Mailing Address15785 95th Ave NMaple Grove, MN 55369-4404 · (763) 233-4141 · Fax (763) 420-5875
Fax(763) 420-5875
Sole ProprietorNo
Enumeration DateOctober 14, 2005
Last NPPES UpdateJune 28, 2013
NPI 1699764431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MN · D11463
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

15785 95TH AVE N, Maple Grove, MN 55369

Other Identifiers 2

Medicare UPINU95362MN
Medicaid8068330-00MN

Accepted Insurance

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. Beth Ann Gavren Dds 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 55369 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.

Other Providers at the Same Location NPPES 14

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

Dentist (General Practice)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (General Practice)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (General Practice)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (General Practice)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (General Practice)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (Endodontics)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (Oral and Maxillofacial Surgery)
15785 95TH AVE N
MAPLE GROVE, MN 55369
Dentist (General Practice)
15785 95TH AVE N
MAPLE GROVE, MN 55369

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699764431, enumerated as an "individual" on October 14, 2005.

The provider is located at 15785 95TH AVE N MAPLE GROVE, MN 55369 and the phone number is (763) 233-4141.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Humana, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.