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Active NPI 1164403267 Individual Practitioner Male Practitioner

Dr. John William Cretzmeyer , DDS

Dentist - General Practice • Fridley, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Cretzmeyer, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fridley, MN. Practice services are available at 1099 MOORE LAKE DR E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1099 Moore Lake Dr E

Fridley, MN 554325153

Telephone 7635869988
Fax 7635869977
Associated Practice Facility / Clinic
🏢 Bauman Ventures Llc Facility NPI 1710716147

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fridley, MN

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

Practicing in Fridley, 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 8144

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
Dr. Anne Vetrano , DDS

Dentist - General Practice

NPI 1043833742

Doctor of Dental Surgery

Dr. Curtis Weyrauch , DDS

Dentist - General Practice

NPI 1639238892

Doctor of Dental Surgery

Dr. Robert Laing , DDS

Dentist - General Practice

NPI 1841351582

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 January 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2011

Registered at 1099 MOORE LAKE DR E, FRIDLEY, MN 554325153 (Tel: 7635869988)

📍
Updated Business Mailing Address January 20, 2011

Registered at 1099 MOORE LAKE DR E, FRIDLEY, MN 554325153 (Tel: 7635869988)

👤
Provider Name / Credentials Updated January 20, 2011

Recorded as JOHN CRETZMEYER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2011

Dentist (License #8144 in MN)

🟢
Initial NPI Registration & Enumeration November 07, 2005

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: 1164403267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2005
Last Update: January 20, 2011
Sole Proprietor: No

Mailing Address

1099 Moore Lake Dr E

Fridley, MN 554325153

Phone: 7635869988

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.