IndividualActive
Austin Kottke, DDS
NPI 1811738016 · Dentist · White Bear Lake, MN
Provider details
- NPI number
- 1811738016
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D15071 (MN)
Specialties & taxonomies
Dental Providers
Practice location
1970 Buerkle Rd
White Bear Lake, MN 55110-1300
Phone: (651) 337-5695
Approximate (ZIP-level) locationGet directions
Mailing address
2428 Delaware St Se Apt 409
Minneapolis, MN 55414-3829
Registry dates
- Enumerated
- 2024-06-03
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.