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Active NPI 1689416810 Individual Practitioner Male Practitioner

Dr. Riley Scott Baumgartner , DDS

Dentist - General Practice • Chisago City, MN

Professional Overview & Biography Verified Profile Summary

Dr. Riley Baumgartner, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chisago City, MN. Practice services are available at 29663 GATEWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

29663 Gateway Ave

Chisago City, MN 550130339

Telephone 6512573639
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chisago City, MN

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

Practicing in Chisago City, 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: 2024-06-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D15099

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
Dr. Mark Jurkovich , DDS

Dentist - General Practice

NPI 1588621338

Doctor of Dental Surgery

Dr. Revana Awadallah , DMD

Dentist - General Practice

NPI 1972237089

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 10, 2024

NPI status registered as active in NPPES database

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Updated Practice Location June 10, 2024

Registered at 29663 GATEWAY AVE, CHISAGO CITY, MN 550130339 (Tel: 6512573639)

📍
Updated Business Mailing Address June 10, 2024

Registered at 5850 169TH AVE NW, RAMSEY, MN 553035896

👤
Provider Name / Credentials Updated June 10, 2024

Recorded as RILEY BAUMGARTNER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2024

Dentist (License #D15099 in MN)

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Initial NPI Registration & Enumeration June 10, 2024

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: 1689416810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2024
Last Update: June 10, 2024
Sole Proprietor: Yes

Mailing Address

5850 169th Ave Nw

Ramsey, MN 553035896

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.