Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043370414 Individual Practitioner Male Practitioner

Dr. Jacobi Lazar Ludwig , DDS

Dentist - General Practice • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jacobi Ludwig, DDS is a registered healthcare professional specializing in Dentist - General Practice in Eagan, MN. Practice services are available at 1905 PLAZA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1905 Plaza Dr

Eagan, MN 551222883

Telephone 6516866678
Fax 8055290102
Associated Practice Facility / Clinic
🏢 Northland Dental Partners Facility NPI 1770730954

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eagan, MN

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

Practicing in Eagan, 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 CA 63228

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MN D12085

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
78420600 (MN)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1144632555

Doctor of Dental Surgery

Dr. Mark Skala , DDS

Dentist - General Practice

NPI 1528127917

Doctor of Dental Surgery

Dr. Katherine Kottas , DDS

Dentist - General Practice

NPI 1932269388

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 October 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2014

Registered at 1905 PLAZA DR, EAGAN, MN 551222883 (Tel: 6516866678)

📍
Updated Business Mailing Address October 07, 2014

Registered at 217 W LOS ANGELES AVE, MOORPARK, CA 930211867 (Tel: 8055290100)

👤
Provider Name / Credentials Updated October 07, 2014

Recorded as JACOBI LUDWIG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2014

Dentist (License #63228 in CA)

🟢
Initial NPI Registration & Enumeration December 08, 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: 1043370414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2006
Last Update: October 07, 2014
Sole Proprietor: No

Mailing Address

217 W Los Angeles Ave

Moorpark, CA 930211867

Phone: 8055290100

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.