Provider Demographics
NPI:1376760256
Name:SEAVERSON, KARI LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:LYNN
Last Name:SEAVERSON
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 1:1361 ROMEO CT
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-4523
Mailing Address - Country:US
Mailing Address - Phone:952-443-3981
Mailing Address - Fax:
Practice Address - Street 1:1401 MAINSTREET
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-7404
Practice Address - Country:US
Practice Address - Phone:952-475-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND11452122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist