Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649371063 Individual Practitioner Male Practitioner

Dr. John David Mittelsteadt , DDS

Dentist - General Practice • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Mittelsteadt, DDS is a registered healthcare professional specializing in Dentist - General Practice in Eagan, MN. Practice services are available at 4555 ERIN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4555 Erin Dr

Eagan, MN 551223398

Telephone 6516819044
Associated Practice Facility / Clinic
🏢 Brandon Mannie D.c. Llc Facility NPI 1629135819

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 MN 09922

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
Jacob Des Jardins

Dentist - General Practice

NPI 1154017432
Dr. John Petersen , DDS

Dentist - General Practice

NPI 1508422411

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4555 ERIN DR, EAGAN, MN 551223398 (Tel: 6516819044)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4555 ERIN DR, EAGAN, MN 551223398 (Tel: 6516819044)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN MITTELSTEADT, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #09922 in MN)

🟢
Initial NPI Registration & Enumeration September 26, 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: 1649371063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4555 Erin Dr

Eagan, MN 551223398

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.