Provider Demographics
NPI:1528952785
Name:WENTE, KAILEY ALEXANDRA (DDS)
Entity type:Individual
Prefix:DR
First Name:KAILEY
Middle Name:ALEXANDRA
Last Name:WENTE
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 1:31513 141ST ST NW
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MN
Mailing Address - Zip Code:55371-3720
Mailing Address - Country:US
Mailing Address - Phone:612-559-1369
Mailing Address - Fax:
Practice Address - Street 1:1560 BEAM AVE STE D
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1171
Practice Address - Country:US
Practice Address - Phone:651-478-7568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND15282122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist