NPI

Molly Rebecca Gervich

NPI 1861796013

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DDS
Type
Individual
Enumeration date
2011-01-03
Last updated
2019-04-19

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Specialties

Licenses

License WI
6637-15
License IA
08637
License MN
D13489

Location

Practice location
21343 Archibald Road
City
Deerwood MN
Postal code
56444
Phone
(218) 534-3141

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Deerwood, MN. 30 records in the public file.

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