Organization
WILLIAM H E KIEPER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H E KIEPER DDS (PRESIDENT)
(320) 358-3120
Entity
Organization
Contact information
Practice address
780 WEST 4TH STREET, RUSH CITY, MN 55069
(320) 358-3120
(320) 358-3288
Mailing address
PO BOX 26, RUSH CITY, MN 55069
(320) 358-3120
(320) 358-3288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7652MN
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5464614
STATE TAX ID #
MN
Enumeration date
10/23/2006
Last updated
08/22/2020
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