- Practice location
- 1384 109TH Ave NE Ste 200, Blaine, MN 55434
- Phone
- 763-757-6000
- Fax
- —
- Last updated
- July 16, 2018
Nicolette Gengel is a Dentist, General Practice based in Blaine, MN. Nicolette Gengel practices in Blaine, MN. The NPI Number for Nicolette Gengel is 1962939546 and holds a License No. D14088 (MN). The current practice location address for Nicolette Gengel is 1384 109TH Ave NE Ste 200, Blaine, MN 55434 and can be reached out via phone at 763-757-6000.
Provider Profile Details
- NPI Number
- 1962939546
- Provider Name
- Nicolette Gengel
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1384 109TH Ave NE Ste 200, Blaine, MN 55434
- Phone Number
- 763-757-6000
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 15, 2017
- Last Update Date
- July 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1384 109TH Ave NE Ste 200
Blaine, MN 55434 - City
- Blaine
- State
- Minnesota
- Zip
- 55434
- Phone Number
- 763-757-6000
Provider Business Mailing Address Details
- Address
- 112 Lake Dr S
New Fairfield, CT 06812-3505 - City
- New Fairfield
- State
- CT
- Zip
- 06812-3505
License Information
- License Number
- D14088
- License State
- MN
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Blaine, MN
View all Dentist, General Practice providers in Blaine →Frequently Asked Questions
What is the NPI number of Nicolette Gengel?
The NPI number of Nicolette Gengel is 1962939546. It was assigned on May 15, 2017 and is currently active in the NPPES registry.
What is the specialty of Nicolette Gengel?
Nicolette Gengel is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MN under license number D14088.
Where does Nicolette Gengel practice?
The practice location is 1384 109TH Ave NE Ste 200, Blaine, MN 55434. The office can be reached at 763-757-6000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962939546 directly on the NPPES registry website.