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Dr. John Phillip Gonzales, DDS
General Practice Dentistry in Cass Lake, Minnesota
NPI 1477679876

John Phillip Gonzales is a General Practice Dentistry based in Cass Lake, MN and is specialized in General Practice. John Phillip Gonzales practices in Cass Lake, MN and has the professional credentials of DDS. The NPI Number for John Phillip Gonzales is 1477679876 and holds a License No. 1859 (Minnesota).

The current practice location address for John Phillip Gonzales is 425 7Th St Nw, Cass Lake, MN and can be reached out via phone at 218-335-3230.

Location: 425 7Th St Nw, Cass Lake, MN, 56633-3360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477679876
Provider Name
John Phillip Gonzales
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
425 7Th St Nw, Cass Lake, MN, 56633-3360
Phone Number
218-335-3230
Fax Number
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041327 05 ND
949039 01 ND DENTAL SERVICE CORP.
000001859ND 01 ND DELTA DENTAL USA
23946 01 ND BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
425 7Th St Nw
City
Cass Lake
State
Minnesota
Zip
56633-3360
Phone Number
218-335-3230
Fax Number
person
Provider Business Mailing Address Details
Address
425 7Th St Nw
City
Cass Lake
State
Minnesota
Zip
56633-3360
Phone Number
218-335-3230
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1859 (North Dakota)
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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