Individual provider · Type 1 NPI

Gregory John Povolny, DDS

General Practice Dentistry · Blaine, MN

NPI number 1376680009 Active

Practice location

9120 Baltimore St NE
Blaine, MN 55449-4337

Call (763) 786-1560 Map

Fax (763) 786-4390

Mailing address

3527 Glen Oaks Ave
White Bear Lake, MN 55110-5661

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	8811 (MN)

General Practice Dentistry: 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.

4 other providers at this address

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About NPI 1376680009

Gregory John Povolny, DDS's National Provider Identifier is 1376680009, issued on Jan 31, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Blaine, MN. The record was last updated on Jul 8, 2007.