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Dr. Kelly Kristine Mehta, DDS
General Practice Dentistry in Maple Grove, Minnesota
NPI 1629137054

Kelly Kristine Mehta is a General Practice Dentistry based in Minneapolis, MN and is specialized in General Practice. Kelly Kristine Mehta practices in Maple Grove, MN and has the professional credentials of DDS. The NPI Number for Kelly Kristine Mehta is 1629137054 and holds a License No. D11805 (Minnesota).

The current practice location address for Kelly Kristine Mehta is 15785 95Th Ave N, Maple Grove, MN and can be reached out via phone at 763-420-5484 and via fax at 763-420-5875. You can also correspond with Kelly Kristine Mehta through the mailing address at 5212 LOGAN AVE S, MINNEAPOLIS, MN - 55419-1022 (mailing address contact number: 612-922-9474).

Location: 15785 95Th Ave N, Maple Grove, MN, 55419-1022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629137054
Provider Name
Kelly Kristine Mehta
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
15785 95Th Ave N, Maple Grove, MN, 55419-1022
Phone Number
763-420-5484
Fax Number
763-420-5875
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15785 95Th Ave N
City
Maple Grove
State
Minnesota
Zip
55369-4404
Phone Number
763-420-5484
Fax Number
763-420-5875
person
Provider Business Mailing Address Details
Address
5212 Logan Ave S
City
Minneapolis
State
Minnesota
Zip
55419-1022
Phone Number
612-922-9474
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D11805 (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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