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Dr. Gregory John Povolny, DDS
General Practice Dentistry in Blaine, Minnesota
NPI 1376680009

Gregory John Povolny is a General Practice Dentistry based in White Bear Lake, MN and is specialized in General Practice. Gregory John Povolny practices in Blaine, MN and has the professional credentials of DDS. The NPI Number for Gregory John Povolny is 1376680009 and holds a License No. 8811 (Minnesota).

The current practice location address for Gregory John Povolny is 9120 Baltimore St Ne, Blaine, MN and can be reached out via phone at 763-786-1560 and via fax at 763-786-4390.

Location: 9120 Baltimore St Ne, Blaine, MN, 55110-5661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376680009
Provider Name
Gregory John Povolny
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
9120 Baltimore St Ne, Blaine, MN, 55110-5661
Phone Number
763-786-1560
Fax Number
763-786-4390
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9120 Baltimore St Ne
City
Blaine
State
Minnesota
Zip
55449-4337
Phone Number
763-786-1560
Fax Number
763-786-4390
person
Provider Business Mailing Address Details
Address
9120 Baltimore St Ne
City
Blaine
State
Minnesota
Zip
55449-4337
Phone Number
763-786-1560
Fax Number
763-786-4390
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
8811 (Minnesota)
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.
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