IndividualActive
Beth Gavren, DDS
NPI 1699764431 · Oral and Maxillofacial Surgery (Dentist) · Maple Grove, MN
Provider details
- NPI number
- 1699764431
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D11463 (MN)
Specialties & taxonomies
Dental Providers
Practice location
15785 95th Ave N
Maple Grove, MN 55369-4404
Phone: (763) 233-4141
Fax: (763) 420-5875
Approximate (ZIP-level) locationGet directions
Mailing address
15785 95th Ave N
Maple Grove, MN 55369-4404
Registry dates
- Enumerated
- 2005-10-14
- Last updated
- 2013-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.