Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649382771 Individual Practitioner Male Practitioner

Thomas Jerome Zyvoloski

Dentist - General Practice • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Thomas Zyvoloski is a registered healthcare professional specializing in Dentist - General Practice in Coon Rapids, MN. Practice services are available at 11475 ROBINSON DR NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11475 Robinson Dr Nw

Coon Rapids, MN 55433

Telephone 7637540041
Fax 7637544506
Associated Practice Facility / Clinic
🏢 Group Health Plan Inc Facility NPI 1043370091

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Coon Rapids, MN

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

Practicing in Coon Rapids, 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 10880

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
912323700 (MN)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. David Hirsh , DDS

Dentist - General Practice

NPI 1295846392

Doctor of Dental Surgery

Dr. Sally Johnson , DDS

Dentist - General Practice

NPI 1609979103

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 August 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2008

Registered at 11475 ROBINSON DR NW, COON RAPIDS, MN 55433 (Tel: 7637540041)

📍
Updated Business Mailing Address August 04, 2008

Registered at PO BOX 1309, MAIL CODE 21113A, MINNEAPOLIS, MN 554401309 (Tel: 9528835151)

👤
Provider Name / Credentials Updated August 04, 2008

Recorded as THOMAS ZYVOLOSKI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2008

Dentist (License #10880 in MN)

🟢
Initial NPI Registration & Enumeration August 31, 2006

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: 1649382771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: August 04, 2008
Sole Proprietor: No

Mailing Address

Po Box 1309, Mail Code 21113a

Minneapolis, MN 554401309

Phone: 9528835151

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.