Individual provider · Type 1 NPI

Emerson Jack Gonyea, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Minneapolis, MN

NPI number 1841975547 Active

Practice location

515 Delaware St SE
Minneapolis, MN 55455-0357

Mailing address

4103 2nd Pl NW
Rochester, MN 55901-7561

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XR851 (MN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1841975547

Emerson Jack Gonyea, DDS's National Provider Identifier is 1841975547, issued on Jun 20, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 8, 2025.