Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083197222 Individual Practitioner Male Practitioner

Dr. Samuel Duberowski , DDS

Dentist - General Practice • Brainerd, MN

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Duberowski, DDS is a registered healthcare professional specializing in Dentist - General Practice in Brainerd, MN. Practice services are available at 16913 PIPER LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16913 Piper Ln

Brainerd, MN 564012918

Telephone 2188513617

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brainerd, MN

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

Practicing in Brainerd, 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: 2025-02-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D14056

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

8 Historical Events
📍
Updated Practice Location February 25, 2025

Registered at 16913 PIPER LN, BRAINERD, MN 564012918 (Tel: 2188513617)

📍
Updated Business Mailing Address February 25, 2025

Registered at 16913 PIPER LN, BRAINERD, MN 564012918 (Tel: 2188513617)

NPI Profile Active September 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2018

Registered at 1 WAHOO AVE, GROTON, CT 063492324 (Tel: 8606944123)

📍
Updated Business Mailing Address September 13, 2018

Registered at 936 GUNGYWAMP RD, GROTON, CT 063402635 (Tel: 2188513617)

👤
Provider Name / Credentials Updated September 13, 2018

Recorded as SAMUEL DUBEROWSKI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2018

Dentist (License #D14056 in MN)

🟢
Initial NPI Registration & Enumeration September 13, 2018

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: 1083197222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2018
Last Update: February 25, 2025
Sole Proprietor: No

Mailing Address

16913 Piper Ln

Brainerd, MN 564012918

Phone: 2188513617

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.