| Michael T Kratz Dds Pa | |
|
3939 W 50th Street #208 Edina MN 55424 | |
| (952) 922-2214 | |
| (952) 922-3903 |
| Full Name | Michael T Kratz Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 3939 W 50th Street, Edina, Minnesota |
| Authorized Official Name and Position | Michael Thomas Kratz (DENTIST OWNER) |
| Authorized Official Contact | 9529222214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Kratz Dds Pa 3939 W 50th Street #208 Edina MN 55424 Ph: (952) 922-2214 | Michael T Kratz Dds Pa 3939 W 50th Street #208 Edina MN 55424 Ph: (952) 922-2214 |
| NPI Number | 1821199852 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0143600965 |
|---|---|
| Medicare Enrollment ID | O20220711000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821199852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10956 (Minnesota) | Primary |
| 1223P0700X | Dentist - Prosthodontics | 6003 (Minnesota) | Primary |
| Provider Name | Michael T Kratz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356457683 PECOS PAC ID: 0042435711 Enrollment ID: I20220711000489 |
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