G2 DENTAL
NPI 1790776144
Dentist in Forest Lake, MN

Active since November 03, 2005
1068 LAKE ST S, #209, FOREST LAKE, MN 55025(651) 464-2248(651) 464-7944 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About G2 Dental NPPES

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

G2 DENTAL (NPI 1790776144) is a healthcare organization registered as a dentist in Forest Lake, Minnesota and active in the NPI registry since November 2005. The organization lists Tracey M Koch, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790776144
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameG2 DENTAL
Location Address1068 LAKE ST S, #209Forest Lake, MN 55025-2639
Mailing Address1068 Lake St S, #209Forest Lake, MN 55025-2639 · (651) 464-2248 · Fax (651) 464-7944
Fax(651) 464-7944
Organization SubpartNo
Authorized OfficialTracey M KochOffice Manager · (651) 464-2248
Enumeration DateNovember 3, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1790776144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MN · 8009 Licensed in MN · 8109 Licensed in MN · 9975 Licensed in MN · 11691
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.
1068 LAKE ST S, Forest Lake, MN 55025

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

Marriage & Family Therapist
1068 LAKE ST S, SUITE 109
FOREST LAKE, MN 55025
Audiologist
1068 LAKE ST S, SUITE 108
FOREST LAKE, MN 55025
Marriage & Family Therapist
1068 LAKE ST S, #109
FOREST LAKE, MN 55025
Psychologist (Clinical)
1068 LAKE ST S, SUITE 12
FOREST LAKE, MN 55025
Counselor (Professional)
1068 LAKE ST S, SUITE 12
FOREST LAKE, MN 55025
Counselor (Mental Health)
1068 LAKE ST S
FOREST LAKE, MN 55025
Nurse Practitioner (Family)
1068 LAKE ST S
FOREST LAKE, MN 55025
Nurse Practitioner (Family)
1068 LAKE ST S
FOREST LAKE, MN 55025

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 G2 Dental's NPI number?

The NPI number for G2 Dental is 1790776144. It was assigned to this organization in the NPPES registry on November 3, 2005.

Where is G2 Dental located?

G2 Dental is located at 1068 Lake St S #209, Forest Lake, MN 55025. The listed phone number is (651) 464-2248.

What is G2 Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for G2 Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.