NPI 1124405857
Jenna Susanne Gauger, ADT
Practice location
- Address
- 2100 11th St E, Glencoe, MN 55336-2625
- Phone
- (320) 864-3129
- Fax
- (320) 269-6408
- Mailing address
- 209 South 1st Street, Montevideo, MN 56265
Registered specialties
Dental Therapist
Primary
Registry record
- NPI
- 1124405857
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 May 2015
- Record last updated
- 23 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.