Healthcare Provider Details

I. General information

NPI: 1619808532
Provider Name (Legal Business Name): JOHN FRANCIS KRAWCZYK DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 BEAM AVE STE 204
MAPLEWOOD MN
55109-1227
US

IV. Provider business mailing address

1670 BEAM AVE STE 204
MAPLEWOOD MN
55109-1227
US

V. Phone/Fax

Practice location:
  • Phone: 651-925-8400
  • Fax:
Mailing address:
  • Phone: 651-925-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD15453
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: