Individual provider · Type 1 NPI

Beth Ann Gavren, DDS

Oral and Maxillofacial Surgery (Dentist) · Maple Grove, MN

NPI number 1699764431 Active

Practice location

15785 95th Ave N
Maple Grove, MN 55369-4404

Fax (763) 420-5875

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD11463 (MN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1699764431

Beth Ann Gavren, DDS's National Provider Identifier is 1699764431, issued on Oct 14, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maple Grove, MN. The record was last updated on Jun 28, 2013.