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JACOB MICHAEL KERKERING DDS
NPI 1033720602
Dentist - General Practice in Eagan, MN

Active since August 16, 2020
3405 PROMENADE AVE STE 300, EAGAN, MN 55123(651) 236-7458(651) 405-6995 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Michael Kerkering Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB MICHAEL KERKERING DDS (NPI 1033720602) is an individual general practice provider in Eagan, Minnesota, licensed in Minnesota (D14471) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1033720602
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB MICHAEL KERKERINGCredential: DDS
Location Address3405 PROMENADE AVE STE 300Eagan, MN 55123-4420
Mailing Address3405 Promenade Ave Ste 300Eagan, MN 55123-4420 · (651) 236-7458 · Fax (651) 405-6995
Phone(651) 236-7458
Fax(651) 405-6995
Sole ProprietorNo
Enumeration DateAugust 16, 2020
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1033720602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D14471
Definition
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.
3405 PROMENADE AVE STE 300, Eagan, MN 55123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNH BOI TRAN DMD
Dentist (General Practice)
3405 PROMENADE AVE STE 300
EAGAN, MN 55123
Dakota County (651) 236-7458
DR. NATHAN LUCAS BOMM DDS
Dentist
3405 PROMENADE AVE STE 300
EAGAN, MN 55123
Dakota County (651) 236-7458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Kerkering's NPI number?

The NPI number for Jacob Kerkering is 1033720602. It was assigned to this individual provider in the NPPES registry on August 16, 2020.

Where is Jacob Kerkering located?

Jacob Kerkering practices at 3405 Promenade Ave Ste 300, Eagan, MN 55123. The listed phone number is (651) 236-7458.

What is Jacob Kerkering's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jacob Kerkering accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jacob Kerkering as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Kerkering was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.