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Active NPI 1225203359 Individual Practitioner Male Practitioner

Dr. Paul Roy Bengtson , DDS

Dentist - General Practice • Blackduck, MN

Professional Overview & Biography Verified Profile Summary

Dr. Paul Bengtson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Blackduck, MN. Practice services are available at 49 SUMMIT AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

49 Summit Ave E

Blackduck, MN 56630

Telephone 2188354227
Fax 2188357512
Associated Practice Facility / Clinic
🏢 Blackduck Dental Clinic Facility NPI 1003991944

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Blackduck, MN

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

Practicing in Blackduck, 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 7789

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
141818100 (MN)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Scott Larson , DDS

Dentist - General Practice

NPI 1952467466

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 April 29, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2008

Registered at 49 SUMMIT AVE E, BLACKDUCK, MN 56630 (Tel: 2188354227)

📍
Updated Business Mailing Address April 29, 2008

Registered at PO BOX 308, BLACKDUCK, MN 566300308 (Tel: 2188354227)

👤
Provider Name / Credentials Updated April 29, 2008

Recorded as PAUL BENGTSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2008

Dentist (License #7789 in MN)

🟢
Initial NPI Registration & Enumeration April 29, 2008

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: 1225203359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2008
Last Update: April 29, 2008
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

Po Box 308

Blackduck, MN 566300308

Phone: 2188354227

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.