Dr Kimberly Denton Koch, DDS - Medicare Dentist in Lakeville, MN

Dr Kimberly Denton Koch, DDS is a medicare enrolled "Dentist" provider in Lakeville, Minnesota. Her current practice location is 17597 Cedar Ave, Lakeville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 431-6606.

Dr Kimberly Denton Koch is licensed to practice in Minnesota (license number D13739) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194101246.

Contact Information

Dr Kimberly Denton Koch, DDS
17597 Cedar Ave,
Lakeville, MN 55044-5269
(952) 431-6606
Not Available



Healthcare Provider's Profile

Full NameDr Kimberly Denton Koch
GenderFemale
SpecialityDentist
Location17597 Cedar Ave, Lakeville, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194101246
  • Provider Enumeration Date: 07/30/2015
  • Last Update Date: 07/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5193004570
  • Enrollment ID: I20161108002323

Medical Identifiers

Medical identifiers for Dr Kimberly Denton Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194101246NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D13739 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly Denton Koch is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kimberly Denton Koch, DDS
17597 Cedar Ave,
Lakeville, MN 55044-5269

Ph: (952) 431-6606
Dr Kimberly Denton Koch, DDS
17597 Cedar Ave,
Lakeville, MN 55044-5269

Ph: (952) 431-6606

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› Verified 9 days ago


Dentist in Lakeville, MN

Dr. Myron A Henrickson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 17436 Kenwood Trl, Lakeville, MN 55044
Phone: 952-241-5899    Fax: 952-241-5897
Tracy Lu Grasdal, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10450 185th St W, Suite 500, Lakeville, MN 55044
Phone: 952-435-9888    Fax: 952-435-9820
Matthew James Schneider,
Dentist
Medicare: Medicare Enrolled
Practice Location: 16372 Kenrick Ave, Suite 200, Lakeville, MN 55044
Phone: 952-435-5905    Fax: 952-435-6291
Henry David Watzl, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9202 202nd St W Ste 201, Lakeville, MN 55044
Phone: 952-469-2818    
Dr. Zongshi Ji, BCS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9202 202nd St W, Suite 202, Lakeville, MN 55044
Phone: 763-670-0172    
Dr. Amy Jean Kebriaei, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 17510 Dodd Blvd, Lakeville, MN 55044
Phone: 952-997-7100    Fax: 952-997-2017
Mrs. Perri Ann Polman Larson,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 17599 Kenwood Trail W, Ste 7, Lakeville, MN 55044
Phone: 952-435-9737    Fax: 952-435-9737

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