Search › Minnesota › 1223G0001X
Clint Kroeker, DDS
NPI 1518451707 · on the registry since 2018
Practice
- Address
- 1545 Livingston Ave Ste 101
West St Paul, MN 55118 - Phone
- (651) 455-0505
- Organisation at this address
- South River Dental Pllc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 20143 Idealic Ave # 105, Lakeville, MN
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota