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

JACK MAURICE KIMMERLE, DDS

Active

JACK MAURICE KIMMERLE, DDS is a Dentist healthcare provider located in GOLDEN VALLEY, Minnesota. NPI 1871536987 is currently active in the NPPES registry. Verify at CMS.

Dentist · GOLDEN VALLEY, MN

Registration Details

NPI Number
1871536987
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2006 (20.166635254988 yrs)
Last Updated
Jul 8, 2007
License
7214 (MN)

Practice Information

Address
2445 WINNETKA AVE N
GOLDEN VALLEY, MN, 554273598
Browse MN providers · Browse ZIP 55427
Phone
7635457200
Primary Specialty
Dentist
122300000X

Other Dentist Providers in GOLDEN VALLEY, MN

Name Credential NPI
DR. SAMIRA S. MAHABADI DDS 1205834850
DR. JEFFREY ALLYN STEELE DDS 1366440554
DR. SHARI KAY BRUNING D.D.S. 1023000890
DR. JANET G PARSONS DDS 1912082223
DR. LARRY KREUGER DDS 1174696835
DR. LUCAS EICHMEYER DDS 1780757450
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.