IndividualActive
Alyssa Gullickson, D.D.S.
NPI 1013277094 · Dentist · Avon, MN
Provider details
- NPI number
- 1013277094
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- D13077 (MN)
Specialties & taxonomies
Dental Providers
Practice location
308 Blattner Dr
Suite a
Avon, MN 56310-4531
Phone: (320) 356-7374
Fax: (320) 356-9427
Approximate (ZIP-level) locationGet directions
Mailing address
23665 N Lakeshore Dr
Glenwood, MN 56334-9375
Registry dates
- Enumerated
- 2012-05-23
- Last updated
- 2012-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.