Christopher David Klekamp, DDS | |
1351 113th Ave Ne Ste 400b, Blaine, MN 55434-3874 | |
(763) 415-1222 | |
Not Available |
Full Name | Christopher David Klekamp |
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Gender | Male |
Speciality | Dentist - Pediatric Dentistry |
Location | 1351 113th Ave Ne Ste 400b, Blaine, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1447614318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 1002273-15 (Wisconsin) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | D14048 (Minnesota) | Primary |
Entity Name | Hennepin Healthcare System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Mailing Address | Practice Location Address |
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Christopher David Klekamp, DDS 1351 113th Ave Ne Ste 400b, Blaine, MN 55434-3874 Ph: (637) 415-1222 | Christopher David Klekamp, DDS 1351 113th Ave Ne Ste 400b, Blaine, MN 55434-3874 Ph: (763) 415-1222 |
Dr. Jeffrey Mark Ruhlmann, Dentist Medicare: Medicare Enrolled Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330 | |
Dr. Landon Thomas Case, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 Phone: 763-225-1865 | |
Dr. Stephen Michael Sawyer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330 Fax: 763-755-4305 | |
Dr. Anissa Jane Kozlowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330 Fax: 763-755-4305 | |
Dr. Karen Dizon Competente, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4255 Pheasant Ridge Dr Ne, Suite 407, Blaine, MN 55449 Phone: 763-225-6100 Fax: 763-225-6101 | |
Dr. Thien Quang Pham, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 651-621-4515 | |
Dr. Matthew R Nelson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 10961 Club Parkway Ne, Suite 240, Blaine, MN 55449 Phone: 763-780-1292 Fax: 952-967-5311 |