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General NPI Number Information
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NPI Number | 1518026947
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Entity Type | Individual
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Provider Name | ELIZABETH M KELLOGG DMD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 6545 FRANCE AVE S STE 381
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City | EDINA
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State | MN
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Zip | 55435-2121
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Country | US
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Telephone | 952-926-7766
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Fax |
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Provider Business Mailing Address
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Address Line | 4645 PARK COMMONS DR APT 405
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City | MINNEAPOLIS
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State | MN
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Zip | 55416-4177
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Country | US
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Telephone | 507-254-8570
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D10312
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License Number State | MN
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