Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033720602 Individual Practitioner Male Practitioner

Dr. Jacob Michael Kerkering , DDS

Dentist - General Practice • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Kerkering, DDS is a registered healthcare professional specializing in Dentist - General Practice in Eagan, MN. Practice services are available at 3405 PROMENADE AVE STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3405 Promenade Ave Ste 300

Eagan, MN 551234420

Telephone 6512367458
Fax 6514056995
Associated Practice Facility / Clinic
🏢 Eagan Smiles Dentistry, Pc Facility NPI 1184093551

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eagan, MN

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

Practicing in Eagan, 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: 2023-08-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D14471

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

2 Associated Practitioners
Dr. Lynh Tran , DMD

Dentist - General Practice

NPI 1174408967

Doctor of Dental Medicine

NPI 1376257881

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 01, 2023

Registered at 3405 PROMENADE AVE STE 300, EAGAN, MN 551234420 (Tel: 6512367458)

📍
Updated Business Mailing Address August 01, 2023

Registered at 3405 PROMENADE AVE STE 300, EAGAN, MN 551234420 (Tel: 6512367458)

NPI Profile Active August 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2020

Registered at 114 PIONEER TRL, CHASKA, MN 553181167 (Tel: 9523616855)

📍
Updated Business Mailing Address August 16, 2020

Registered at 360 1ST ST N APT 151, MINNEAPOLIS, MN 554013332 (Tel: 6104018810)

👤
Provider Name / Credentials Updated August 16, 2020

Recorded as JACOB KERKERING, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2020

Dentist (License #D14471 in MN)

🟢
Initial NPI Registration & Enumeration August 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jacob Kerkering. Be the first to share your experience!

Sign in to leave a review for Dr. Jacob Kerkering

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1033720602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2020
Last Update: August 01, 2023
Sole Proprietor: No

Mailing Address

3405 Promenade Ave Ste 300

Eagan, MN 551234420

Phone: 6512367458

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.