Kirsten Jean Dussault in Minnetonka - General Practice

Kirsten Jean Dussault - NPI 1801956248

Kirsten Jean Dussault is a General Practice in Minnetonka, Minnesota. Kirsten Jean Dussault practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kirsten Jean Dussault is 1801956248. The last update date is 2007-07-08.

Kirsten Jean Dussault's current location address is 13911 Ridgedale Dr, Minnetonka, Minnesota. You can contact this provider via phone number 9525458603 and fax number 9525454371. The mailing address for Kirsten Jean Dussault is 13911 Ridgedale Dr, Minnetonka, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirsten Jean Dussault
Address 13911 Ridgedale Dr, Minnetonka, Minnesota
Phone Number 9525458603
Fax Number 9525454371
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1801956248
Provider Enumeration Date 2006-12-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 13911 Ridgedale Dr
City Minnetonka
State Minnesota (MN)
Post Code 553051771
Phone Number 9525458603
Fax Number 9525454371

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D12098
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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FAQs about Kirsten Jean Dussault

What is the Kirsten Jean Dussault's 1801956248?

The Kirsten Jean Dussault's NPI (National Provider Identifier) Number is 1801956248. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kirsten Jean Dussault is located?

The Kirsten Jean Dussault is situated at the following address: 13911 Ridgedale Dr, Minnetonka, MN, 553051771.

What is the Kirsten Jean Dussault's specialty and taxonomy code?

The Kirsten Jean Dussault's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801956248 to Kirsten Jean Dussault?

The Centers for Medicare & Medicaid Services originally issued the 1801956248 to Kirsten Jean Dussault on 2006-12-08.

As of what date were the details pertaining to Kirsten Jean Dussault last refreshed?

The information related to the Kirsten Jean Dussault, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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