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Active NPI 1003429465 Individual Practitioner Male Practitioner

Dr. Peter Marot Klinkenberg , DDS

Dentist - General Practice • Chaska, MN

Professional Overview & Biography Verified Profile Summary

Dr. Peter Klinkenberg, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chaska, MN. Practice services are available at 1464 WHITE OAK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1464 White Oak Dr

Chaska, MN 553182525

Telephone 9523518282
Associated Practice Facility / Clinic
🏢 Relaxation Dentistry Facility NPI 1104156405

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chaska, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Chaska, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D11461

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jenny Ruoho , DDS

Dentist - General Practice

NPI 1215099643

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2020

Registered at 1464 WHITE OAK DR, CHASKA, MN 553182525 (Tel: 9523518282)

📍
Updated Business Mailing Address August 26, 2020

Registered at 4900 OLD CEDAR LAKE RD, ST LOUIS PARK, MN 554161647 (Tel: 6129645865)

👤
Provider Name / Credentials Updated August 26, 2020

Recorded as PETER KLINKENBERG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2020

Dentist (License #D11461 in MN)

🟢
Initial NPI Registration & Enumeration August 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003429465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2020
Last Update: August 26, 2020
Sole Proprietor: No

Mailing Address

4900 Old Cedar Lake Rd

St Louis Park, MN 554161647

Phone: 6129645865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.