DR. AMY JEAN KEBRIAEI


Address: 17510 Dodd Blvd, Lakeville, MN 55044
Phone: 9529977100

DR. AMY JEAN KEBRIAEI (NPI# 1104024264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104024264
Entity Type Individual
Full Name DR. AMY JEAN KEBRIAEI
Other Name AMY JEAN HAWORTH
Credential D.D.S.
Practice Address 17510 Dodd Blvd
Lakeville
MN 55044
Practice Telephone 9529977100
Practice Fax Number 9529972017
Mailing Telephone 9529977100
Mailing Fax Number 9529972017
Enumeration Date 2007-07-10
Last Update Date 2009-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
D12729 MN Dental Providers
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
6709 NE Dental Providers

Office Location

Street Address 17510 DODD BLVD
City LAKEVILLE
State MN
Zip Code 55044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942436167 Childlren's Dental Care LLC Dentist 17510 Dodd Blvd, Lakeville, MN 55044-5268 2009-06-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518528397 Fairview Pharmacy Services LLC Non-Pharmacy Dispensing Site Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 2019-06-24
1164922373 Invigorate Chiropractic, Pa Chiropractor 18449 Orchard Trail, Lakeville, MN 55044 2018-02-14
1275046344 Kevin Schultz Chiropractor 18449 Orchard Tr, Lakeville, MN 55044 2017-11-13
1518487263 Katarina Klementina Foster Dentist 16138 Pilot Knob Rd, Lakeville, MN 55044 2017-06-23
1275069676 Alison Marie Weaver Physical Therapist 17599 Kenwood Trl Ste 200, Lakeville, MN 55044 2017-05-04
1184177479 Megan Erickson Physical Therapist 21034 Heron Way Ste 102, Lakeville, MN 55044 2016-08-03
1669827523 Kristine Louise Duhamel Nurse Practitioner 18275 Kenrick Avenue, Lakeville, MN 55044 2016-04-28
1003281536 Heather Leann Wegner Counselor 16233 Kenyon Ave, Lakeville, MN 55044 2015-12-09
1982081295 Dana Bungert Specialist/Technologist 11060 Upper 167th St W, Lakeville, MN 55044 2015-05-06
1265834931 Kayla Schulz Counselor 7535 165th St West, Lakeville, MN 55044 2014-09-24
Find all providers in zip 55044

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235270158 Soraya Steinhilber Dentist 3517 Thomas Dr, Suite 12, Lakeville, NY 14480-9760 2007-02-12
1942436167 Childlren's Dental Care LLC Dentist 17510 Dodd Blvd, Lakeville, MN 55044-5268 2009-06-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477025906 Riverdale Kidds Pediatric Dentistry, Pllc Dentist 3585 124th Ave Nw Ste 400, Coon Rapids, MN 55433-1008 2018-12-21
1467924290 Camp Smile Pediatric Dentistry Excelsior Pllc Dentist 675 Water St Ste 2, Excelsior, MN 55331-3072 2018-12-18
1932671765 Camp Smile Pediatric Dentistry Chaska Dentist 111 Hundertmark Rd Ste 304n, Chaska, MN 55318-1587 2018-12-18
1538678057 Blaine Kidds Pediatric Dentistry Pllc Dentist 1351 113th Ave Ne, Blaine, MN 55434-3874 2017-09-27
1760918239 David James Knight Dentist 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 2017-05-03
1710367925 Lindsay Bedeaux Dentist 7373 France Ave S Ste 400, Edina, MN 55435-4549 2015-06-02
1609272822 Rochester Pediatric Dentistry LLC Dentist 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 2014-11-16
1396186813 Central Minnesota Pediatric Dentists Pa Dentist 507 N Nokomis St Ste C, Alexandria, MN 56308-2353 2013-07-12
1265873707 Central Minnesota Pediatric Dentists Pa Dentist 570 Humboldt Dr Ste 102, Big Lake, MN 55309-4844 2013-07-12
1013264621 Northland Dental Partners Dentist 3507 Round Lake Blvd. Suite 900, Anoka, MN 55303 2012-08-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City LAKEVILLE
Zip Code 55044

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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