Nicole A. Gresczyk
Dental Assistant
1789 Woodlane Dr #d
Woodbury
, Minnesota 55125-3910
Nicole A. Gresczyk
Dental Assistant
1789 Woodlane Dr #d
Woodbury
, Minnesota 55125-3910
(651) 251-3859
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Nicole A. Gresczyk
- 1625 Frost Ave Unit A
- Maplewood, MN
- Zip : 55109-4611
- Phone : (651) 251-3859
Second Address
- Nicole A. Gresczyk
- 1789 Woodlane Dr #d
- Woodbury, MN
- Zip : 55125-3910
- Phone : (651) 738-1284
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1326148974 |
|---|---|
| Provider Name | Nicole A. Gresczyk |
| First Address | Maplewood, MN 55109-4611 |
| Second Address | Woodbury, MN 55125-3910 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.