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Dr. Jordan Krivanek, DDS

Dentist in Menomonie, WI. Individual provider (NPI-1).

NPI number1730972738
StatusActive
Last updated in NPPESMay 23, 2025

Details

NPI
1730972738
Entity type
Individual (NPI-1)
Name
Dr. Jordan Krivanek
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
May 23, 2025
Certification date
May 23, 2025
Last updated
May 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist6001818-15WIYes

Practice location

2409 Hils Ct
Menomonie, WI 54751-1141

Phone 715-309-2999

Mailing address

4717 165th St N
Hugo, MN 55038-9521

Phone 651-387-6084

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