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Deactivated NPI 1922090711 Deactivated / Inactive NPI Male Practitioner

Dr. Jerold Einar Thoreson , DDS

Dentist - General Practice • Blue Earth, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerold Thoreson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 17, 2005
NPI Deactivation Date May 11, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jerold Thoreson, DDS was a registered Dentist - General Practice practicing in Blue Earth, MN. Throughout an active medical career spanning 15 years, Dr. Thoreson provided care at the practice location at 301 N MAIN ST until profile deactivation on 2020-05-11.

Practice Location & Contact Primary Location

Practice Address

301 N Main St

Blue Earth, MN 560131965

Telephone 5075265916

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Blue Earth, MN

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

Practicing in Blue Earth, 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 6068

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 11, 2020

Record deactivated on May 11, 2020

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 301 N MAIN ST, BLUE EARTH, MN 560131965 (Tel: 5075265916)

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Updated Business Mailing Address July 09, 2007

Registered at 301 N MAIN ST, BLUE EARTH, MN 560131965 (Tel: 5075265916)

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Provider Name / Credentials Updated July 09, 2007

Recorded as JEROLD THORESON, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #6068 in MN)

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Initial NPI Registration & Enumeration August 17, 2005

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: 1922090711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2005
Last Update: July 09, 2007
Deactivation Date: May 11, 2020

Mailing Address

301 N Main St

Blue Earth, MN 560131965

Phone: 5075265916

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.