DR. JEROD THOMAS KLAVA (NPI# 1205129012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205129012 |
| Entity Type | Individual |
| Full Name | DR. JEROD THOMAS KLAVA |
| Credential | DDS |
| Practice Address |
6545 France Ave. So. Suite 190 Edina MN 55435 |
| Mailing Address |
6545 France Ave So. Suite 190 Edina MN 55435 |
| Practice Telephone | 9529226949 |
| Practice Fax Number | 9529229287 |
| Mailing Telephone | 9529226949 |
| Mailing Fax Number | 9529229287 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2014-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D12525 | MN | Dental Providers |
| Street Address |
6545 FRANCE AVE. SO. SUITE 190 |
| City | EDINA |
| State | MN |
| Zip Code | 55435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861575946 | Donald E. Lareau | Dentist | 7373 France Ave S Ste 502, Edina, MN 55435-4549 | 2006-10-23 |
| 1134547730 | Southdale Periodontics, Pllc | Dentist | 6545 France Ave S, Suite 190, Edina, MN 55435-2131 | 2014-04-01 |
| 1407008477 | Dylla-jensen Periodontics Pllc | Dentist | 6545 France Ave S, Edina, MN 55435-2131 | 2008-10-21 |
| 1710180294 | Russell Allen Dylla | Dentist | 6545 France Ave S, Suite #190, Edina, MN 55435-2131 | 2007-06-11 |
| 1437273976 | Carl L Bandt | Dentist | 3925 W 44th St, Edina, MN 55424-1032 | 2007-03-19 |
| 1811058126 | Oender Solakoglu | Dentist | 6545 France Ave S, Suite 190, Edina, MN 55435-2131 | 2006-12-12 |
| 1780745091 | James R Jensen | Dentist | 6545 France Ave S, Suite 190, Edina, MN 55435-2131 | 2006-12-12 |
| 1285795500 | Jonathan M Jenkins | Dentist | 6545 France Ave S, Suite 190, Edina, MN 55435-2131 | 2006-12-12 |
| 1376619114 | Dental Specialists of Minnesota, Pllc | Dentist | 6545 France Ave S, Suite 366, Edina, MN 55435-2131 | 2006-11-24 |
| 1134208630 | Douglas George Petersen | Dentist | 6545 France Ave S, #366, Edina, MN 55435-2131 | 2006-11-03 |
| Find all providers in EDINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.