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

Kiersten Micael Boehm Masello, DDS

Individual provider Dentist · NPI 1922637636

Kiersten Micael Boehm Masello, DDS is a Dentist in Baxter, 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

14199 Edgewood Dr
Baxter, MN 56425-8462
Phone: (651) 587-6846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D14422 (MN)

Record details

NPI number1922637636
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 4, 2020
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020

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