| Group Health Plan, Inc | |
| 
					2251 Connecticut Ave Healthpartners Central Mn Clinic - Dental Sartell MN 56337-4772  | |
| (320) 253-5824 | |
| (320) 203-2076 | 
| Full Name | Group Health Plan, Inc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 2251 Connecticut Ave, Sartell, Minnesota | 
| Authorized Official Name and Position | David S Gesko (DENTAL DIRECTOR AND SR. VICE PRESID) | 
| Authorized Official Contact | 9528837577 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Group Health Plan, Inc 8100 34th Ave S 21113a Bloomington MN 55425-1672 Ph: (952) 883-5151  | Group Health Plan, Inc 2251 Connecticut Ave Healthpartners Central Mn Clinic - Dental Sartell MN 56337-4772 Ph: (320) 253-5824  | 
| NPI Number | 1538213566 | 
|---|---|
| Provider Enumeration Date | 01/23/2007 | 
| Last Update Date | 02/08/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538213566 | NPI | - | NPPES | 
| 7477163-00 | Medicaid | MN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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