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

Jacob Michael Kerkering, DDS

Individual provider General Practice Dentistry · NPI 1033720602

Jacob Michael Kerkering, DDS is a General Practice Dentistry in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
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

3405 Promenade Ave Ste 300
Eagan, MN 55123-4420
Phone: (651) 236-7458
Fax: (651) 405-6995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D14471 (MN)

Record details

NPI number1033720602
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 16, 2020
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address3405 Promenade Ave Ste 300, Eagan, MN 55123-4420

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