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Kenneth B Weddell Pllc
General Practice Dentistry in Bloomington, Minnesota
NPI 1073862819

Kenneth B Weddell Pllc is a General Practice Dentistry based in Bloomington, MN and is specialized in General Practice. Kenneth B Weddell Pllc practices in Bloomington, MN. The NPI Number for Kenneth B Weddell Pllc is 1073862819 and holds a License No. D12619 (Minnesota).

The current practice location address for Kenneth B Weddell Pllc is 8900 Penn Ave S Ste 211, Bloomington, MN and can be reached out via phone at 952-884-7706 and via fax at 952-881-6006.

Location: 8900 Penn Ave S Ste 211, Bloomington, MN, 55431-2068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073862819
Provider Name
Kenneth B Weddell Pllc
Credential
Provider Entity Type
Organization
Address
8900 Penn Ave S Ste 211, Bloomington, MN, 55431-2068
Phone Number
952-884-7706
Fax Number
952-881-6006
Provider Enumeration Date
09/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104884147 01 NPI
institution
Provider Business Practice Location Address Details
Address
8900 Penn Ave S Ste 211
City
Bloomington
State
Minnesota
Zip
55431-2068
Phone Number
952-884-7706
Fax Number
952-881-6006
person
Provider Business Mailing Address Details
Address
8900 Penn Ave S Ste 211
City
Bloomington
State
Minnesota
Zip
55431-2068
Phone Number
952-884-7706
Fax Number
952-881-6006
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D12619 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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