DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AMY JEAN KEBRIAEI, D.D.S.

Active Sole Proprietor

DR. AMY JEAN KEBRIAEI, D.D.S. is a Pediatric Dentistry healthcare provider located in LAKEVILLE, Minnesota. NPI 1104024264 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · LAKEVILLE, MN

Registration Details

NPI Number
1104024264
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2007 (19.063144975639 yrs)
Last Updated
Jul 8, 2009
Licenses
6709 (NE)
D12729 (MN)
Sole Proprietor
Yes

Practice Information

Address
17510 DODD BLVD
LAKEVILLE, MN, 55044
Browse MN providers · Browse ZIP 55044
Phone
9529977100
Fax
9529972017
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in LAKEVILLE, MN

Name Credential NPI
DR. ANN M ZEYER DDS 1871905406
SYDNEY GRACE MALONE FRENTZ DDS 1518616051
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.