Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154017432 Individual Practitioner Male Practitioner

Jacob William Des Jardins

Dentist - General Practice • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Jacob Des Jardins is a registered healthcare professional specializing in Dentist - General Practice in Eagan, MN. Practice services are available at 4555 ERIN DR STE 180 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4555 Erin Dr Ste 180

Eagan, MN 551223334

Telephone 6516819044
Associated Practice Facility / Clinic

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

CMS Verified: 2024-05-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D14942

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

3 Associated Practitioners
Dr. John Petersen , DDS

Dentist - General Practice

NPI 1508422411

Doctor of Dental Surgery

Dr. John Mittelsteadt , DDS

Dentist - General Practice

NPI 1649371063

Doctor of Dental Surgery

NPI 1942391735

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location May 31, 2024

Registered at 4555 ERIN DR STE 180, EAGAN, MN 551223334 (Tel: 6516819044)

📍
Updated Business Mailing Address May 31, 2024

Registered at 4555 ERIN DR STE 180, EAGAN, MN 551223334 (Tel: 6516819044)

📍
Updated Practice Location July 05, 2023

Registered at 1550 WHITE BEAR AVE N, SAINT PAUL, MN 551061602 (Tel: 6517887045)

📍
Updated Business Mailing Address July 05, 2023

Registered at 1550 WHITE BEAR AVE N, SAINT PAUL, MN 551061602 (Tel: 7045651788)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2023

Dentist (License #D14942 in MN)

NPI Profile Active April 11, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2023

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186 (Tel: 9202646520)

📍
Updated Business Mailing Address April 11, 2023

Registered at 2738 SUMMERSET CIR # 203, SUAMICO, WI 541738013 (Tel: 9202646520)

👤
Provider Name / Credentials Updated April 11, 2023

Recorded as JACOB DES JARDINS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 11, 2023

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: 1154017432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2023
Last Update: May 31, 2024
Sole Proprietor: No

Mailing Address

4555 Erin Dr Ste 180

Eagan, MN 551223334

Phone: 6516819044

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.