G2 Dental
NPI 1790776144ActiveOrganization· Dentist· Forest Lake, MN
Dentist in Forest Lake, Minnesota, registered in NPPES in November 2005. The authorized official on file is Tracey M. Koch, Office Manager.
Overview
| NPI | 1790776144 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 8009 | MN |
| Dentist | 122300000X | 8109 | MN |
| Dentist | 122300000X | 9975 | MN |
| Dentist | 122300000X | 11691 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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