Dennis L Kaivo DDS PA
Dentist, General Practice in Eden Prairie, MN. Organization (NPI-2).
NPI number1245844588
StatusActive
Last updated in NPPESSep 3, 2020
Details
- NPI
- 1245844588
- Entity type
- Organization (NPI-2)
- Legal business name
- Dennis L Kaivo DDS PA
- Organization subpart
- No
- Enumeration date
- Sep 3, 2020
- Certification date
- Sep 2, 2020
- Last updated
- Sep 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Preserve Parkway Dental (Doing Business As)
Practice location
9613 Anderson Lakes PkwyEden Prairie, MN 55344-4155
Phone 952-947-0470
Mailing address
9613 Anderson Lakes PkwyEden Prairie, MN 55344-4155
Phone 952-947-0470
Authorized official
Dennis L Kaivo
Owner
9529410470
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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