Kimmerle, Jack Maurice

Kimmerle, Jack Maurice is an individual health care provider with primary practice located at 2445 Winnetka Ave N , Golden Valley MN 55427-3598. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kimmerle, Jack Maurice can be contacted via phone (763) 545-7200.

Contact Information

Primary practice address
2445 Winnetka Ave N Golden Valley MN 55427-3598
Phone: (763) 545-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7214 Minnesota

Profile Details

NPI number 1871536987
LBN Legal business name Kimmerle, Jack Maurice
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 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.

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