Keith Robert Erickson in Eagan - Orthodontics And Dentofacial Orthopedics
Keith Robert Erickson - NPI 1043305626
Keith Robert Erickson is a Orthodontics And Dentofacial Orthopedics in Eagan, Minnesota. Keith Robert Erickson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Keith Robert Erickson is 1043305626. The last update date is 2007-07-08.
Keith Robert Erickson's current location address is 2130 Cliff Rd Ste 220, Eagan, Minnesota. You can contact this provider via phone number 6514051055 and fax number 6514050727. The mailing address for Keith Robert Erickson is 2130 Cliff Rd Ste 220, Eagan, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Robert Erickson |
|---|---|
| Address | 2130 Cliff Rd Ste 220, Eagan, Minnesota |
| Phone Number | 6514051055 |
| Fax Number | 6514050727 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1043305626 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2130 Cliff Rd Ste 220 |
|---|---|
| City | Eagan |
| State | Minnesota (MN) |
| Post Code | 551222487 |
| Phone Number | 6514051055 |
| Fax Number | 6514050727 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 9558 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the Keith Robert Erickson's 1043305626?
The Keith Robert Erickson's NPI (National Provider Identifier) Number is 1043305626. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Keith Robert Erickson is physically located?
The Keith Robert Erickson is physically situated at the following address: 2130 Cliff Rd Ste 220, Eagan, MN, 551222487.
What is Keith Robert Erickson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Keith Robert Erickson's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043305626 to Keith Robert Erickson?
The Keith Robert Erickson received its 1043305626 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date was the information regarding Keith Robert Erickson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith Robert Erickson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.