Erickson, Keith Robert

Erickson, Keith Robert is an individual health care provider with primary practice located at 2130 Cliff Rd Ste 220 , Eagan MN 55122-2487. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Erickson, Keith Robert can be contacted via phone (651) 405-1055.

Contact Information

Primary practice address
2130 Cliff Rd Ste 220 Eagan MN 55122-2487
Phone: (651) 405-1055
Fax: (651) 405-0727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 9558 Minnesota

Profile Details

NPI number 1043305626
LBN Legal business name Erickson, Keith Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers