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Active NPI 1649339136 Individual Practitioner Male Practitioner

Dr. Luke Gustave Siskoff , DDS

Dentist - General Practice • Apple Valley, MN

Professional Overview & Biography Verified Profile Summary

Dr. Luke Siskoff, DDS is a registered healthcare professional specializing in Dentist - General Practice in Apple Valley, MN. Practice services are available at 14990 GLAZIER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14990 Glazier Ave
#100

Apple Valley, MN 551247818

Telephone 9524315114
Fax 9524313576
Associated Practice Facility / Clinic
🏢 Pdg, P.a. Facility NPI 1841366093

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Apple Valley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
30 Specialists

Practicing in Apple Valley, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D10276

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Sarah Welch , DDS

Dentist - General Practice

NPI 1093874596

Doctor of Dental Surgery

Dr. Thomas Tran , DDS

Dentist - General Practice

NPI 1447319926

Doctor of Dental Surgery

NPI 1730864059

Doctor of Dental Surgery

Dr. J. Morgan , DDS

Dentist - General Practice

NPI 1811425325

Doctor of Dental Surgery

Dr. Deborrah Nordblom , DDS

Dentist - General Practice

NPI 1821155573

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 14990 GLAZIER AVE, #100, APPLE VALLEY, MN 551247818 (Tel: 9524315114)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1248 PIONEER LN, SHAKOPEE, MN 553793463 (Tel: 9524963456)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LUKE SISKOFF, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D10276 in MN)

🟢
Initial NPI Registration & Enumeration December 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649339136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1248 Pioneer Ln

Shakopee, MN 553793463

Phone: 9524963456

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.