Group Health Plan, INC

NPI #1558764597 in Plymouth, Minnesota

Provider Information

NPI Number: 1558764597
Entity Type: Organization
Organization Name: Group Health Plan, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 6, 2014
Last Updated: Oct 13, 2014

Practice Location

Address: 4155 COUNTY RD 101 N
City: Plymouth
State: Minnesota
ZIP Code: 55446-2308
Phone: (952) 977-3000

Authorized Official

Name: DR. DAVID S GESKO, DDS
Title: SENIOR VP/DENTAL DIRECTOR
Phone: (952) 883-7577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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