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Active NPI 1629137500 Individual Practitioner Female Practitioner

Dr. Corine Nicole Mclellan , DDS

Dentist - General Practice • Blaine, MN

Professional Overview & Biography Verified Profile Summary

Dr. Corine Mclellan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Blaine, MN. Practice services are available at 12904 CENTRAL AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12904 Central Ave Ne

Blaine, MN 554344147

Telephone 7637551330
Fax 7637554305
Associated Practice Facility / Clinic
🏢 Pdg,p.a. Facility NPI 1215003371

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Blaine, MN

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

Practicing in Blaine, 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 D11538

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

8 Associated Practitioners
Jeffrey Ruhlmann

Dentist - General Practice

NPI 1013355593
Dr. Stephen Sawyer , DDS

Dentist - General Practice

NPI 1043379514

Doctor of Dental Surgery

Dr. Anissa Kozlowski , DDS

Dentist - General Practice

NPI 1083777411

Doctor of Dental Surgery

NPI 1184355349
Dr. Robb Kozlowski , DDS

Dentist - General Practice

NPI 1215090659

Doctor of Dental Surgery

Dr. Jose Gigato Gonzalez , DDS

Dentist - General Practice

NPI 1356026355

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 12904 CENTRAL AVE NE, BLAINE, MN 554344147 (Tel: 7637551330)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11716 ARNOLD PALMER TRL, BLAINE, MN 554494520 (Tel: 7637170007)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CORINE MCLELLAN, DDS

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

Dentist (License #D11538 in MN)

🟢
Initial NPI Registration & Enumeration December 07, 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: 1629137500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

11716 Arnold Palmer Trl

Blaine, MN 554494520

Phone: 7637170007

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.