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General NPI Number Information
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NPI Number | 1821199852
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Entity Type | Organization
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Legal Business Name | MICHAEL T KRATZ DDS PA
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3939 W 50TH STREET #208
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City | EDINA
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State | MN
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Zip | 55424
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Country | US
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Telephone | 952-922-2214
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Fax | 952-922-3903
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Provider Business Mailing Address
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Address Line | 3939 W 50TH STREET #208
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City | EDINA
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State | MN
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Zip | 55424
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Country | US
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Telephone | 952-922-2214
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Fax | 952-922-3903
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | MICHAEL THOMAS KRATZ
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Credential | DDS
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Telephone | 952-922-2214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10956
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 6003
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License Number State | MN
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