Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cole Boerema

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295154250

Cole Boerema is a Student in an Organized Health Care Education/Training Program in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1965 Cliff Lake Rd
Eagan, MN 55122-2590
Phone: (651) 452-4828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D13366 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MN)

Record details

NPI number1295154250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2014
Last updated in NPPESJuly 1, 2014
Mailing address1965 Cliff Lake Rd, Eagan, MN 55122-2590

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