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DR. CLINT MATTHEW KROEKER DDS
NPI 1518451707
Dentist - General Practice in West St Paul, MN

Active since June 20, 2018
1545 LIVINGSTON AVE STE 101, WEST ST PAUL, MN 55118(651) 455-0505 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Dr. Clint Matthew Kroeker Dds NPPES

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

DR. CLINT MATTHEW KROEKER DDS (NPI 1518451707) is an individual general practice provider in West St Paul, Minnesota, licensed in Minnesota (D14069) and active in the NPI registry since June 2018. He maintains a secondary practice location in Lakeville.

NPPES Registry Identity

NPI1518451707
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CLINT MATTHEW KROEKERCredential: DDS
Location Address1545 LIVINGSTON AVE STE 101West St Paul, MN 55118-3422
Mailing Address1545 Livingston Ave Ste 101West St Paul, MN 55118-3422 · (651) 455-0505
Phone(651) 455-0505
Sole ProprietorNo
Enumeration DateJune 20, 2018
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1518451707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D14069
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.
Also ListedDentistTaxonomy 122300000X · License D14069 (MN)
1545 LIVINGSTON AVE STE 101, West St Paul, MN 55118
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Other Names 1

Other Name (5)Clint Kroeker Dds

Secondary Practice Location 1

Location 120143 Idealic Ave # 105Lakeville, MN 55044-6343 · Phone (952) 303-7012

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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.

SOUTH RIVER DENTAL PLLC
Clinic/Center (Dental)
1545 LIVINGSTON AVE STE 101
WEST ST PAUL, MN 55118
Dakota County (651) 455-0505

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 Clint Kroeker's NPI number?

The NPI number for Clint Kroeker is 1518451707. It was assigned to this individual provider in the NPPES registry on June 20, 2018. The provider is also known as Clint Kroeker Dds.

Where is Clint Kroeker located?

Clint Kroeker practices at 1545 Livingston Ave Ste 101, West St Paul, MN 55118. The listed phone number is (651) 455-0505.

What is Clint Kroeker's specialty?

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

What insurance does Clint Kroeker accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Clint Kroeker 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 Clint Kroeker was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.