Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073432142 Individual Practitioner Male Practitioner

Dr. Shane Michael Tetzlaff , DDS

Dentist • Duluth, MN

Professional Overview & Biography Verified Profile Summary

Dr. Shane Tetzlaff, DDS is a registered healthcare professional specializing in Dentist in Duluth, MN. Practice services are available at 230 E SUPERIOR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

230 E Superior St

Duluth, MN 558022118

Telephone 2187271448
Associated Practice Facility / Clinic
🏢 G&m Dental, Pllc Facility NPI 1447078175

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Duluth, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
32 Specialists

Practicing in Duluth, MN (1863 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: 2026-07-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D15517

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Robert Mohs , DDS

Dentist - General Practice

NPI 1093899809

Doctor of Dental Surgery

NPI 1194020719

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 July 13, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2026

Registered at 230 E SUPERIOR ST, DULUTH, MN 558022118 (Tel: 2187271448)

📍
Updated Business Mailing Address July 13, 2026

Registered at 230 E SUPERIOR ST, DULUTH, MN 558022118

👤
Provider Name / Credentials Updated July 13, 2026

Recorded as SHANE TETZLAFF, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2026

Dentist (License #D15517 in MN)

🟢
Initial NPI Registration & Enumeration July 13, 2026

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: 1073432142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2026
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

230 E Superior St

Duluth, MN 558022118

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.