NPI 1013381425

Kristin Marie Rivers, DMD

Practitioner General Practice Dentistry St Louis Park, MN

Practice location

Address: 5000 W 36th St STE 250, St Louis Park, MN 55416-2776
Phone: (612) 467-6555

Registered specialties (3)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D13645 (MN)

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Registry record

NPI: 1013381425
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2015
Record last updated: 3 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.