Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780759944 Individual Practitioner Male Practitioner

Dr. Peter J Miskovich , DDS

Dentist - General Practice • Grand Rapids, MN

Professional Overview & Biography Verified Profile Summary

Dr. Peter Miskovich, DDS is a registered healthcare professional specializing in Dentist - General Practice in Grand Rapids, MN. Practice services are available at 1121 SE 4TH AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1121 Se 4th Avenue

Grand Rapids, MN 55744

Telephone 2183263437
Fax 2183271211
Associated Practice Facility / Clinic
🏢 Miskovich Dental Clinic Facility NPI 1255407060

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grand Rapids, MN

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

Practicing in Grand Rapids, 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 D11951

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia
1670908
Commercial Insurance / Payer ID Blue Cross And Sh Of Mn
275L7MI (MN)
Commercial Insurance / Payer ID State License Number
D11951 (MN)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1063079242

Doctor of Dental Surgery

Christina Hubred , ADT, DH

Advanced Practice Dental Therapist

NPI 1578117438
Dr. Mike Miskovich , DDS

Dentist - General Practice

NPI 1609941863

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1121 SE 4TH AVENUE, GRAND RAPIDS, MN 55744 (Tel: 2183263437)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1121 SE 4TH AVENUE, GRAND RAPIDS, MN 55744 (Tel: 2183263437)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER MISKOVICH, DDS

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

Dentist (License #D11951 in MN)

🟢
Initial NPI Registration & Enumeration November 22, 2006

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: 1780759944
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1121 Se 4th Avenue

Grand Rapids, MN 55744

Phone: 2183263437

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.