OrganizationActive
Group Health Plan, Inc.
NPI 1700975216 · Orthodontics and Dentofacial Orthopedics Dentistry · Stillwater, MN
Provider details
- NPI number
- 1700975216
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Parent organization
- Group Health Plan, Inc
- Organization subpart
- Yes
- Authorized official
- David Gesko, Dental Div/Sr Vp(952) 883-7577
- License
- 9652MN (MN)
Specialties & taxonomies
Dental Providers
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
1395 Curve Crest Blvd
Stillwater, MN 55082
Phone: (651) 439-1966
Fax: (651) 439-7555
Approximate (ZIP-level) locationGet directions
Mailing address
1395 Curve Crest Blvd
Stillwater, MN 55082
Other names (DBA / former)
- Doing business as
- Three Rivers Orthodontics
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2014-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.