MEDICARE: DR. JOHN WILLIAM CRETZMEYER JR. DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	8144	MN

General Provider Information

NPI Number	:	1164403267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN WILLIAM CRETZMEYER JR. DDS

Provider Business Mailing Address
First Line	:	1099 MOORE LAKE DR E
Second Line	:
City	:	FRIDLEY
State	:	MN
Zip	:	55432-5153
Country	:	US
Telephone Number	:	763-586-9988
Fax Number	:	763-586-9977

Provider Business Practice Location Address
First Line	:	1099 MOORE LAKE DR E
Second Line	:
City	:	FRIDLEY
State	:	MN
Zip	:	55432-5153
Country	:	US
Telephone Number	:	763-586-9988
Fax Number	:	763-586-9977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	01/20/2011

Similar Medicare Providers

1043833742 — DR. ANNE VETRANO DDS
Practice Location Address:

1099 MOORE LAKE DR E
FRIDLEY, MN
55432-5153

Practice Phone: 763-586-9988
Practice Fax:

1306901921 — DAVID LU
Practice Location Address:

1023 MOORE LAKE DR E
FRIDLEY, MN
55432-5153

Practice Phone: 763-586-6045
Practice Fax:

1710716147 — BAUMAN VENTURES LLC
Practice Location Address:

1099 MOORE LAKE DR E
FRIDLEY, MN
55432-5153

Practice Phone: 763-614-0454
Practice Fax:

1134054828 — AMY SCHMITZ RN
Practice Location Address:

550 OSBORNE RD NE
FRIDLEY, MN
55432-2718

Practice Phone: 763-236-4172
Practice Fax:

1275331308 — THE LANDING OF MINNESOTA, LLC
Practice Location Address:

6425 HIGHWAY 65 NE
FRIDLEY, MN
55432-5128

Practice Phone: 844-526-3464
Practice Fax: 651-448-2147

1467388587 — NATHAN ERICKSON
Practice Location Address:

520 OSBORNE RD NE STE 120
FRIDLEY, MN
55432-2753

Practice Phone: 763-236-4572
Practice Fax:

Directions to “ DR. JOHN WILLIAM CRETZMEYER JR. DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.