Healthcare Provider Details

I. General information

NPI: 1912844465
Provider Name (Legal Business Name): EMILY KRATZ THOEN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 W 50TH ST STE 208
EDINA MN
55424-1258
US

IV. Provider business mailing address

3939 W 50TH ST STE 208
EDINA MN
55424-1258
US

V. Phone/Fax

Practice location:
  • Phone: 952-922-2214
  • Fax:
Mailing address:
  • Phone: 952-922-2214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD15464
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: