Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ABHINA GAUTAM, MS
ActiveDR. ABHINA GAUTAM, MS is a Pediatric Dentistry healthcare provider located in ROSEVILLE, Minnesota. NPI 1588296024 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · ROSEVILLE, MN
Registration Details
- NPI Number
- 1588296024
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 12, 2020 (6.4740103820003 yrs)
- Last Updated
- Aug 27, 2024
- Licenses
-
DPRM2096 (FL)S215 (MN)
Practice Information
- Address
-
2680 E SNELLING SER DR100ROSEVILLE, MN, 55113Browse MN providers · Browse ZIP 55113
- Phone
- 6126620121
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.