Individual provider · Type 1 NPI
Amy Jean Kebriaei, DDS
Pediatric Dentistry · Lakeville, MN
NPI number
1104024264
Active
Practice location
17510 Dodd Blvd
Lakeville, MN 55044
Fax (952) 997-2017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 6709 (NE) |
| Pediatric Dentistry Primary | 1223P0221X | D12729 (MN) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Lakeville
About NPI 1104024264
Amy Jean Kebriaei, DDS's National Provider Identifier is 1104024264, issued on Jul 10, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lakeville, MN. The record was last updated on Jul 8, 2009.