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

Dr. Kim M Ledermann, DDS

Individual provider Dentist · NPI 1205991726

Dr. Kim M Ledermann, DDS is an Oral Surgery in Saint Paul, Minnesota. Graduated from University of Minnesota School of Dentistry in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
24
Trained at
University of Minnesota School of Dentistry
Licensed in
MN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2550 University Ave W SUITE143N
Saint Paul, MN 55114-1052
Phone: (651) 642-1013
Fax: (651) 642-0947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11715 (MN)

Record details

NPI number1205991726
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 26, 2006
Last updated in NPPESNovember 13, 2014
Mailing address5030 Emerson Ave S, Minneapolis, MN 55419-1154

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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