Individual
JACOB MICHAEL KERKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3405 PROMENADE AVE STE 300, EAGAN, MN 55123-4420
(651) 236-7458
(651) 405-6995
Mailing address
3405 PROMENADE AVE STE 300, EAGAN, MN 55123-4420
(651) 236-7458
(651) 405-6995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14471
MN
Other
Enumeration date
08/16/2020
Last updated
08/01/2023
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