Individual
SCOTT JAMES IMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16220 ABERDEEN ST NE STE A1, HAM LAKE, MN 55304-5421
(763) 434-4188
(763) 413-7261
Mailing address
90 S 9TH ST APT 1308, MINNEAPOLIS, MN 55402-3279
(218) 269-3558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15447
MN
Other
Enumeration date
06/08/2026
Last updated
06/10/2026
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