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General NPI Number Information
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NPI Number | 1598267312
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Entity Type | Organization
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Legal Business Name | KJELD AAMODT DDS MS PC
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 605 MARKET ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-3219
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Country | US
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Telephone | 831-238-7285
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Fax |
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Provider Business Mailing Address
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Address Line | 548 MARKET ST # 36184
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-5401
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Country | US
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Telephone | 831-238-7285
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. KJELD A AAMODT
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Credential | DDS, MS
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Telephone | 831-238-7285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 64545
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License Number State | CA
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