Individual provider · Type 1 NPI
Jack Maurice Kimmerle, DDS
Dentist · Golden Valley, MN
Practice location
2445 Winnetka Ave N
Golden Valley, MN 55427-3598
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 7214 (MN) |
Dentist: 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 requiremen…
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About NPI 1871536987
Jack Maurice Kimmerle, DDS's National Provider Identifier is 1871536987, issued on Jun 14, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Golden Valley, MN. The record was last updated on Jul 13, 2026.