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DR. AMY JEAN KEBRIAEI D.D.S.
NPI 1104024264
Dentist - Pediatric Dentistry in Lakeville, MN

Active since July 10, 2007
17510 DODD BLVD, LAKEVILLE, MN 55044(952) 997-7100(952) 997-2017 Get Directions Write a Review

NPPES record last updated: July 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amy Jean Kebriaei D.d.s. NPPES

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

DR. AMY JEAN KEBRIAEI D.D.S. (NPI 1104024264) is an individual pediatric dentistry provider in Lakeville, Minnesota, licensed in Minnesota (D12729) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1104024264
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. AMY JEAN KEBRIAEICredential: D.D.S.
Location Address17510 DODD BLVDLakeville, MN 55044
Mailing Address17510 Dodd BlvdLakeville, MN 55044 · (952) 997-7100 · Fax (952) 997-2017
Phone(952) 997-7100
Fax(952) 997-2017
Sole ProprietorYes
Enumeration DateJuly 10, 2007
Last NPPES UpdateJuly 8, 2009
✔ NPI 1104024264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in MN · D12729✔ Licensed in NE · 6709
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
17510 DODD BLVD, Lakeville, MN 55044
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Other Names 1

Former Name (1)Amy Jean Haworth

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

CHILDLREN'S DENTAL CARE LLC
Dentist (Pediatric Dentistry)
17510 DODD BLVD
LAKEVILLE, MN 55044
Dakota County (952) 997-7100

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 Amy Kebriaei's NPI number?

The NPI number for Amy Kebriaei is 1104024264. It was assigned to this individual provider in the NPPES registry on July 10, 2007. The provider is also known as Amy Jean Haworth.

Where is Amy Kebriaei located?

Amy Kebriaei practices at 17510 Dodd Blvd, Lakeville, MN 55044. The listed phone number is (952) 997-7100.

What is Amy Kebriaei's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Amy Kebriaei accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Amy Kebriaei 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 Amy Kebriaei was last updated on July 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.