Kroeker, Clint Matthew

Kroeker, Clint Matthew is an individual health care provider with primary practice located at 1545 Livingston Ave Ste 101 , West St Paul MN 55118-3422. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Kroeker, Clint Matthew can be contacted via phone (651) 455-0505.

Contact Information

Primary practice address
1545 Livingston Ave Ste 101 West St Paul MN 55118-3422
Phone: (651) 455-0505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D14069 Minnesota
Dental Providers / General Practice 1223G0001X D14069 Minnesota

Profile Details

NPI number 1518451707
LBN Legal business name Kroeker, Clint Matthew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2018
Last updated May 2nd, 2022 - about 3 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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