Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184355349 Individual Practitioner Male Practitioner

Jacob Daniel Meyer

Dentist • Blaine, MN

Professional Overview & Biography Verified Profile Summary

Jacob Meyer is a registered healthcare professional specializing in Dentist 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
Associated Practice Facility / Clinic
🏢 Pdg,p.a. Facility NPI 1215003371

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Blaine, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
24 Specialists

Practicing in Blaine, MN (1863 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: 2022-06-20
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D14782

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Jeffrey Ruhlmann

Dentist - General Practice

NPI 1013355593
Dr. Anissa Kozlowski , DDS

Dentist - General Practice

NPI 1083777411

Doctor of Dental Surgery

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

Dr. Peter Thompson , DDS

Dentist - General Practice

NPI 1477600807

Doctor of Dental Surgery

NPI 1578089207

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 June 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2022

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

📍
Updated Business Mailing Address June 20, 2022

Registered at 854 104TH LN NE, BLAINE, MN 554341556 (Tel: 6517076607)

👤
Provider Name / Credentials Updated June 20, 2022

Recorded as JACOB MEYER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2022

Dentist (License #D14782 in MN)

🟢
Initial NPI Registration & Enumeration June 20, 2022

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: 1184355349
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2022
Last Update: June 20, 2022
Sole Proprietor: Yes

Mailing Address

854 104th Ln Ne

Blaine, MN 554341556

Phone: 6517076607

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.