Dr. Amelia Mikkonen Gerlach, DDS
Dentist, General Practice in Brooklyn Center, MN. Individual provider (NPI-1).
NPI number1215096862
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1215096862
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amelia Mikkonen Gerlach
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D11653 | MN | Yes |
Other names
- Amelia Mikkonen (Professional Name)
Practice location
6437 Brooklyn BlvdBrooklyn Center, MN 55429-2174
Phone 763-531-7177 · Fax 763-535-6284
Mailing address
5809 91st Cres NBrooklyn Park, MN 55443-1620
Phone 763-424-7292
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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