Healthcare Provider Details

I. General information

NPI: 1821924044
Provider Name (Legal Business Name): KRISTINA MARIE ASTLEFORD-HOPPER DDS, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 DELAWARE ST SE
MINNEAPOLIS MN
55455-0357
US

IV. Provider business mailing address

15770 FLAN CT
APPLE VALLEY MN
55124-6009
US

V. Phone/Fax

Practice location:
  • Phone: 612-625-6444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD15495
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: