Kevin Daniel Molldrem, DDS

General Practice Dentistry · Eden Prairie, MN

Individual Active NPI

NPI number 1740404797

Practice location

800 Prairie Center Dr
Suite 250
Eden Prairie, MN 55344-7328
Phone
(952) 974-5116

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NPI record

NPI
1740404797
Entity type
Individual (Type 1)
Enumeration date
April 12, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D11329 MN

About Dr. Molldrem

Kevin Daniel Molldrem, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 800 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7328. The NPI number 1740404797 was assigned on April 12, 2007 and the record was last updated on July 8, 2007.

Dr. Molldrem lists a license in the registry: #D11329 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Daniel Molldrem, DDS?

The NPI number is 1740404797.

What is the phone number of Dr. Molldrem?

The phone number listed for the practice location is (952) 974-5116.

Where is Dr. Molldrem located?

800 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7328.

What is the taxonomy code for Dr. Molldrem?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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