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Active NPI 1245089937 Individual Practitioner Male Practitioner

Dmytro Tertytskyi

Dentist • Edina, MN

Professional Overview & Biography Verified Profile Summary

Dmytro Tertytskyi is a registered healthcare professional specializing in Dentist in Edina, MN. Practice services are available at 7701 YORK AVE S STE 240 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7701 York Ave S Ste 240

Edina, MN 554355896

Telephone 6515055900

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Edina, MN

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

Practicing in Edina, 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: 2025-08-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D15072

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1417418690

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 August 16, 2025

Registered at 7701 YORK AVE S STE 240, EDINA, MN 554355896 (Tel: 6515055900)

📍
Updated Business Mailing Address August 16, 2025

Registered at 9460 ULYSSES ST NE APT 320, MINNEAPOLIS, MN 554343502 (Tel: 6466594428)

NPI Profile Active June 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2024

Registered at 3570 RIVER RAPIDS DR NW, COON RAPIDS, MN 554484100 (Tel: 6515231093)

📍
Updated Business Mailing Address June 02, 2024

Registered at 1036 27TH AVE SE APT D, MINNEAPOLIS, MN 554142732 (Tel: 6466594428)

👤
Provider Name / Credentials Updated June 02, 2024

Recorded as DMYTRO TERTYTSKYI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 15, 2024

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: 1245089937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2024
Last Update: August 16, 2025
Sole Proprietor: Yes

Mailing Address

9460 Ulysses St Ne Apt 320

Minneapolis, MN 554343502

Phone: 6466594428

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.