Provider Demographics
NPI:1013590389
Name:ASKEGAARD, ABIGAIL (DDS)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:ASKEGAARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9840 KIRKWOOD LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-6602
Mailing Address - Country:US
Mailing Address - Phone:218-251-3646
Mailing Address - Fax:
Practice Address - Street 1:6563 LAKETOWNE PL
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:MN
Practice Address - Zip Code:55301-4510
Practice Address - Country:US
Practice Address - Phone:763-515-3615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND145721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice