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Gregory Povolny, D.D.S.
NPI 1376680009 · General Practice Dentistry · Blaine, MN
Gregory Povolny, D.D.S. is a General Practice Dentistry provider in Blaine, MN (NPI 1376680009).
Provider details
- NPI number
- 1376680009
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8811 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9120 Baltimore St Ne
Blaine, MN 55449-4337
Phone: (763) 786-1560
Fax: (763) 786-4390
Street-level locationGet directions
Mailing address
3527 Glen Oaks Ave
White Bear Lake, MN 55110-5661
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2007-07-08
Frequently asked questions
- What is Gregory Povolny's NPI number?
- Gregory Povolny's National Provider Identifier (NPI) is 1376680009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gregory Povolny's specialty?
- Gregory Povolny is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Gregory Povolny located?
- Gregory Povolny's practice location on file with NPPES is 9120 Baltimore St Ne, Blaine, MN 55449-4337.
- What is Gregory Povolny's phone number?
- The practice phone number listed in the NPPES registry for Gregory Povolny is (763) 786-1560.
- Is Gregory Povolny's NPI active?
- Yes — Gregory Povolny's NPI (1376680009) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.