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Deactivated NPI 1184774887 Deactivated / Inactive NPI Male Practitioner

Michael Andrew Ronald

Dentist - General Practice • Edina, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Ronald has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 12, 2007
NPI Deactivation Date March 14, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Michael Ronald was a registered Dentist - General Practice practicing in Edina, MN. Throughout an active medical career spanning 11 years, Michael Ronald provided care at the practice location at 3939 W 50TH ST until profile deactivation on 2018-03-14.

Practice Location & Contact Primary Location

Practice Address

3939 W 50th St
#204

Edina, MN 554241258

Telephone 9529222313
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Edina, MN

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

Practicing in Edina, 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 MN9828

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

8 Associated Practitioners
NPI 1164438156

Doctor of Medicine (M.D.)

Dr. Michael Kratz , DDS

Dentist - General Practice

NPI 1356457683

Doctor of Dental Surgery

NPI 1437167848

Doctor of Medicine (M.D.)

NPI 1649285503

Doctor of Medicine (M.D.)

Dr. Rachel Holm , DDS

Dentist - General Practice

NPI 1689089096

Doctor of Dental Surgery

Dr. Mary Flynn , DDS

Dentist - General Practice

NPI 1780690016

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 14, 2018

Record deactivated on March 14, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3939 W 50TH ST, #204, EDINA, MN 554241258 (Tel: 9529222313)

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Updated Business Mailing Address July 08, 2007

Registered at 3939 W 50TH ST, #204, EDINA, MN 554241258 (Tel: 9529222313)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL RONALD

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

Dentist (License #MN9828 in MN)

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Initial NPI Registration & Enumeration January 12, 2007

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: 1184774887
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2007
Last Update: July 08, 2007
Deactivation Date: March 14, 2018

Mailing Address

3939 W 50th St, #204

Edina, MN 554241258

Phone: 9529222313

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.