Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740637941 Individual Practitioner Female Practitioner

Dr. Lissa Cisneros , DDS

Dentist - General Practice • Cambridge, MN

Professional Overview & Biography Verified Profile Summary

Dr. Lissa Cisneros, DDS is a registered healthcare professional specializing in Dentist - General Practice in Cambridge, MN. Practice services are available at 135 OPPORTUNITY BLVD S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

135 Opportunity Blvd S

Cambridge, MN 550081238

Telephone 7636891554
Associated Practice Facility / Clinic
🏢 Matthew J Peterson, Dds, Pa Facility NPI 1366539082

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cambridge, MN

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

Practicing in Cambridge, 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 D13670

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

2 Associated Practitioners
NPI 1255997532

Doctor of Dental Surgery

Dr. Matthew Peterson , DDS

Dentist - General Practice

NPI 1902993629

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2017

Registered at 135 OPPORTUNITY BLVD S, CAMBRIDGE, MN 550081238 (Tel: 7636891554)

📍
Updated Business Mailing Address April 12, 2017

Registered at 135 OPPORTUNITY BLVD S, CAMBRIDGE, MN 550081238 (Tel: 7636891554)

👤
Provider Name / Credentials Updated April 12, 2017

Recorded as LISSA CISNEROS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Dentist (License #D13670 in MN)

NPI Profile Active May 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2016

Registered at 135 OPPORTUNITY BLVD S, CAMBRIDGE, MN 550081238 (Tel: 7636891554)

📍
Updated Business Mailing Address May 17, 2016

Registered at 135 OPPORTUNITY BLVD S, CAMBRIDGE, MN 550081238 (Tel: 7636891554)

👤
Provider Name / Credentials Updated May 17, 2016

Recorded as LISSA TOMMERDAHL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2016

Dentist (License #D13670 in MN)

🟢
Initial NPI Registration & Enumeration May 17, 2016

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: 1740637941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2016
Last Update: April 12, 2017
Sole Proprietor: No

Mailing Address

135 Opportunity Blvd S

Cambridge, MN 550081238

Phone: 7636891554

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.