G2 DENTAL
NPI 1790776144
Dentist in Forest Lake, MN

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 122300000X.

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: July 19, 2026.

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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

Phone(651) 464-2248

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

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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