Kenneth B Weddell Pllc is a Dental Clinic in Bloomington, Minnesota. It is located at 8900 Penn Ave S Ste 211, Bloomington, MN and its contact number is 952-884-7706. The authorized person for Kenneth B Weddell Pllc is Dr. Kenneth Bruce Weddell
who is Owner of the clinic and their contact number is 952-884-7706. The primary license number for Kenneth B Weddell Pllc is D12619 (General Practice) in Minnesota.
Kenneth B Weddell Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Kenneth B Weddell Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kenneth B Weddell Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 8900 Penn Ave S Ste 211, Bloomington,
Minnesota, 55431-2068 |
| Phone: | 952-884-7706 |
| Fax: | 952-881-6006 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Kenneth Bruce Weddell |
| Position: | Owner |
| Contact Number: | 952-884-7706 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kenneth B Weddell Pllc clinic are as mentioned below.
| NPI Number: | 1073862819 |
| NPI Enumeration Date: | 07 Sep, 2012 |
| NPI Last Update On: | 09 Aug, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth B Weddell Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | D12619 | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1104884147 | Other | | Npi |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kenneth B Weddell Pllc
8900 Penn Ave S Ste 211,
Bloomington, Minnesota |
| Zip: | 55431-2068 |
| Phone Number: | 952-884-7706 |
| Fax Number: | 952-881-6006 |
Patients can reach Kenneth B Weddell Pllc at
8900 Penn Ave S Ste 211, Bloomington, Minnesota or can
call to book an appointment on 952-884-7706.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.