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Dr. Benjaporn Krubsack, DDS,MS
Dentist in Minneapolis, Minnesota
NPI 1700452042

Benjaporn Krubsack is a Dentist based in Minneapolis, MN. Benjaporn Krubsack practices in Minneapolis, MN and has the professional credentials of DDS,MS. The NPI Number for Benjaporn Krubsack is 1700452042 and holds a License No. R785 (Minnesota).

The current practice location address for Benjaporn Krubsack is 515 Delaware St Se, Minneapolis, MN and can be reached out via phone at 612-626-0140 and via fax at 612-626-0138.

Location: 515 Delaware St Se, Minneapolis, MN, 55455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700452042
Provider Name
Benjaporn Krubsack
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Female
Address
515 Delaware St Se, Minneapolis, MN, 55455
Phone Number
612-626-0140
Fax Number
612-626-0138
Provider Enumeration Date
05/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
515 Delaware St Se
City
Minneapolis
State
Minnesota
Zip
55455
Phone Number
612-626-0140
Fax Number
612-626-0138
person
Provider Business Mailing Address Details
Address
515 Delaware St Se
City
Minneapolis
State
Minnesota
Zip
55455
Phone Number
612-626-0140
Fax Number
612-626-0138
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
019.033897 (Illinois)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
R785 (Minnesota)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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