Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629426218 Individual Practitioner Female Practitioner

Dr. Karissa Goetsch , DDS

Dentist • Fosston, MN

Professional Overview & Biography Verified Profile Summary

Dr. Karissa Goetsch, DDS is a registered healthcare professional specializing in Dentist in Fosston, MN. Practice services are available at 109 JOHNSON AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 Johnson Ave N

Fosston, MN 565421327

Telephone 3203095882
Associated Practice Facility / Clinic
🏢 Prairie Pines Dental, Pllc Facility NPI 1578291803

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fosston, MN

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

Practicing in Fosston, 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: 2023-01-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D13671

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.

Secondary Practice Locations

1611 County Highway 10

Minneapolis, MN 554322124

Phone: 7637173989

7600 France Ave S Ste 1100

Edina, MN 55435

Phone: 8889646681

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Roger Sjulson , DDS

Dentist - General Practice

NPI 1720140841

Doctor of Dental Surgery

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location September 06, 2022

Registered at 109 JOHNSON AVE N, FOSSTON, MN 565421327 (Tel: 3203095882)

📍
Updated Business Mailing Address September 06, 2022

Registered at 109 JOHNSON AVE N, FOSSTON, MN 565421327 (Tel: 3203095882)

👤
Provider Name / Credentials Updated September 06, 2022

Recorded as KARISSA GOETSCH, DDS

📍
Updated Practice Location November 01, 2019

Registered at 7600 FRANCE AVE S STE 1100, EDINA, MN 55435 (Tel: 8889646681)

📍
Updated Business Mailing Address November 01, 2019

Registered at 7600 FRANCE AVE S STE 1100, EDINA, MN 554355936 (Tel: 8889646681)

📍
Updated Practice Location April 15, 2019

Registered at 1611 COUNTY HIGHWAY 10, MINNEAPOLIS, MN 554322124 (Tel: 7637173989)

📍
Updated Business Mailing Address April 15, 2019

Registered at 1611 COUNTY HIGHWAY 10, MINNEAPOLIS, MN 554322124

👤
Provider Name / Credentials Updated April 15, 2019

Recorded as KARISSA GOETSCH

NPI Profile Active May 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2016

Registered at 1105 HILLSIDE AVE SW, PINE CITY, MN 550632153 (Tel: 3206292789)

📍
Updated Business Mailing Address May 25, 2016

Registered at 1105 HILLSIDE AVE SW, PINE CITY, MN 550632153

👤
Provider Name / Credentials Updated May 25, 2016

Recorded as KARISSA LANGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2016

Dentist (License #D13671 in MN)

🟢
Initial NPI Registration & Enumeration May 24, 2016

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: 1629426218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2016
Last Update: January 10, 2023
Sole Proprietor: Yes

Mailing Address

109 Johnson Ave N

Fosston, MN 565421327

Phone: 2184351599

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.