Provider Demographics
NPI:1366330623
Name:KOVAR, GARRETT JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:JOSEPH
Last Name:KOVAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:758 1ST ST S STE 101
Mailing Address - Street 2:
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-1315
Mailing Address - Country:US
Mailing Address - Phone:320-253-1011
Mailing Address - Fax:
Practice Address - Street 1:758 1ST ST S STE 101
Practice Address - Street 2:
Practice Address - City:WAITE PARK
Practice Address - State:MN
Practice Address - Zip Code:56387-1315
Practice Address - Country:US
Practice Address - Phone:320-253-1011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND15327122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist