Individual
DR. JEFFREY D. ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, P.A.
Contact information
Practice address
8900 PENN AVE S, 105, BLOOMINGTON, MN 55431-2068
(952) 884-5500
(952) 253-1005
Mailing address
8900 PENN AVE S, 105, BLOOMINGTON, MN 55431-2068
(952) 884-5500
(952) 253-1005
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
83A80
MN
1223E0200X
Endodontics
—
MN
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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