Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922235027 Individual Practitioner Female Practitioner

Dr. Lisa Ann Edstrom , DDS

Dentist • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Edstrom, DDS is a registered healthcare professional specializing in Dentist in Eagan, MN. Practice services are available at 3436 DENMARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3436 Denmark Ave

Eagan, MN 551231088

Telephone 6514524455
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
34 Specialists

Practicing in Eagan, 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: 2020-09-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D12681

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

1 Associated Practitioners
Dr. Robert Casper , DDS

Dentist - General Practice

NPI 1841289329

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 30, 2020

Registered at 3436 DENMARK AVE, EAGAN, MN 551231088 (Tel: 6514524455)

📍
Updated Business Mailing Address September 30, 2020

Registered at 3436 DENMARK AVE, EAGAN, MN 551231088 (Tel: 6514524455)

NPI Profile Active November 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2010

Registered at 8977 HUNTERS WAY, APPLE VALLEY, MN 551249486 (Tel: 9528918484)

📍
Updated Business Mailing Address November 08, 2010

Registered at 8977 HUNTERS WAY, APPLE VALLEY, MN 551249486 (Tel: 9528918484)

👤
Provider Name / Credentials Updated November 08, 2010

Recorded as LISA EDSTROM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2010

Dentist (License #D12681 in MN)

🟢
Initial NPI Registration & Enumeration June 16, 2009

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: 1922235027
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2009
Last Update: September 30, 2020
Sole Proprietor: No

Mailing Address

3436 Denmark Ave

Eagan, MN 551231088

Phone: 6514524455

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.