Active NPI
Jeffery a. Kohler, Jr., DDS PLLC
- Dental Clinic/Center
- Lakeville, MN
National Provider Identifier
1144743808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- JEFFERY A. KOHLER, JR., DDS PLLC
- Doing business as
- Lakeville Advanced Dental Care
- Practice address
- 17600 Cedar Ave
Lakeville, MN 55044-6339 - Phone
- (952) 232-4185
- NPI assigned
- Jul 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffery Arthur Kohler Jr., DDS
- Title
- Owner/Dentist
- Phone
- (952) 232-4185
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
17600 Cedar Ave
Lakeville, MN 55044-6339
Mailing address
17600 Cedar Ave
Lakeville, MN 55044-6339
Phone (952) 232-4185
Other names 1
- Lakeville Advanced Dental Care
National Provider Directory
National Provider DirectoryLocations
17600 Cedar Ave
Lakeville, MN 55044
Phone (402) 206-1118
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Lakeville, MN
- NPI 1245525880
-
- Certified Registered Nurse Anesthetist
- Lakeville, MN
- NPI 1942551163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700265600000",
"number": "1144743808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17600 CEDAR AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446339",
"telephone_number": "952-232-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17600 CEDAR AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446339",
"telephone_number": "952-232-4185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERY A. KOHLER, JR., DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-24",
"last_updated": "2023-11-18",
"certification_date": "2023-11-18",
"status": "A",
"authorized_official_last_name": "KOHLER",
"authorized_official_first_name": "JEFFERY",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "952-232-4185",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeville Advanced Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.