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Contact Information

G2 SOUTH PLLC
5846 BLACKSHIRE PATH
INVER GROVE HEIGHTS, MN55076
 Phone: 651-389-1133
 Fax: 651-464-1135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for G2 SOUTH PLLC

NPI # 1023127388
LBN Legal business name G2 SOUTH PLLC
Authorized official TRACEY KOCH - (PRACTICE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 08/13/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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