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Active NPI 1659340503 Individual Practitioner Male Practitioner

Dr. John Carlton Wittenstrom , DDS

Dentist - General Practice • Apple Valley, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Wittenstrom, DDS is a registered healthcare professional specializing in Dentist - General Practice in Apple Valley, MN. Practice services are available at 14990 GLAZIER AVE STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14990 Glazier Ave Ste 100

Apple Valley, MN 551247819

Telephone 6128619123
Fax 6128619155
Associated Practice Facility / Clinic
🏢 Metro Dentalcare, Plc Facility NPI 1316913411

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

CMS Verified: 2023-04-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D10082

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
NPI 1568431492

Doctor of Dental Surgery

Dr. David Milbrath , DDS

Dentist - General Practice

NPI 1598860314

Doctor of Dental Surgery

Dr. Julie Konop , DDS

Dentist - General Practice

NPI 1700993284

Doctor of Dental Surgery

NPI 1811953300

Doctor of Dental Surgery

NPI 1952412124

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 12, 2023

Registered at 14990 GLAZIER AVE STE 100, APPLE VALLEY, MN 551247819 (Tel: 6128619123)

📍
Updated Business Mailing Address April 12, 2023

Registered at 14990 GLAZIER AVE STE 100, APPLE VALLEY, MN 551247819 (Tel: 9524315114)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2023

Dentist (License #D10082 in MN)

NPI Profile Active October 19, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2009

Registered at 6601 LYNDALE AVE S, WOODLAKE CENTER SUITE 230, RICHFIELD, MN 554232477 (Tel: 6128619123)

📍
Updated Business Mailing Address October 19, 2009

Registered at 6601 LYNDALE AVE S, WOODLAKE CENTER SUITE 230, RICHFIELD, MN 554232477 (Tel: 6128619123)

👤
Provider Name / Credentials Updated October 19, 2009

Recorded as JOHN WITTENSTROM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2009

Dentist (License #10082 in MN)

🟢
Initial NPI Registration & Enumeration March 14, 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: 1659340503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: April 12, 2023
Sole Proprietor: No

Mailing Address

14990 Glazier Ave Ste 100

Apple Valley, MN 551247819

Phone: 9524315114

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.