Klotzbuecher, Kurtis A

Klotzbuecher, Kurtis A is an individual health care provider with primary practice located at 8711 E Point Douglas Rd S Ste 100, Cottage Grove MN 55016-5000. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Klotzbuecher, Kurtis A can be contacted via phone (651) 379-9892.

Contact Information

Primary practice address
8711 E Point Douglas Rd S Ste 100 Cottage Grove MN 55016-5000
Phone: (651) 379-9892
Fax: (651) 379-9893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9055 Minnesota

Profile Details

NPI number 1669583407
LBN Legal business name Klotzbuecher, Kurtis A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 1st, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669583407 NPPES
Minnesota MEDICAID 3002233-00

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