Dr. Peter Marot Klinkenberg
Dentist - General Practice
1464 White Oak Dr
Chaska
, Minnesota 55318-2525
Dr. Peter Marot Klinkenberg
Dentist - General Practice
1464 White Oak Dr
Chaska
, Minnesota 55318-2525
(612) 964-5865
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Peter Marot Klinkenberg
- 4900 Old Cedar Lake Rd
- St Louis Park, MN
- Zip : 55416-1647
- Phone : (612) 964-5865
Second Address
- Dr. Peter Marot Klinkenberg
- 1464 White Oak Dr
- Chaska, MN
- Zip : 55318-2525
- Phone : (952) 351-8282
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | D11461 | MN |
| Y | 213EG0000X | General Practice | D11461 | MN |
National Provider Identifier
| NPI | 1003429465 |
|---|---|
| Provider Name | Dr. Peter Marot Klinkenberg |
| First Address | St Louis Park, MN 55416-1647 |
| Second Address | Chaska, MN 55318-2525 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/08/2020 |
| Last Update Date | 26/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.