Individual provider · Type 1 NPI

Kiersten Micael Boehm Masello, DDS

Dentist · Baxter, MN

NPI number 1922637636 Active

Practice location

14199 Edgewood Dr
Baxter, MN 56425-8462

Mailing address

2523 Maple Ln
Roseville, MN 55113-1013

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD14422 (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 1922637636

Kiersten Micael Boehm Masello, DDS's National Provider Identifier is 1922637636, issued on Apr 4, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Baxter, MN. The record was last updated on Jul 15, 2020.