Healthcare Provider Details

I. General information

NPI: 1366516460
Provider Name (Legal Business Name): KIMBERLY ANN DAVIS LINDQUIST DDS. MSD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 W SUPERIOR ST STE 824
DULUTH MN
55802-1718
US

IV. Provider business mailing address

4838 OAK RIDGE DR
HERMANTOWN MN
55811-1729
US

V. Phone/Fax

Practice location:
  • Phone: 218-727-7557
  • Fax:
Mailing address:
  • Phone: 218-729-9636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberD10776
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: