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Active NPI 1659204584 Individual Practitioner Male Practitioner

Dr. Scott James Imberg , DDS

Dentist - General Practice • Ham Lake, MN

Professional Overview & Biography Verified Profile Summary

Dr. Scott Imberg, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ham Lake, MN. Practice services are available at 16220 ABERDEEN ST NE STE A1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16220 Aberdeen St Ne Ste A1

Ham Lake, MN 553045421

Telephone 7634344188
Fax 7634137261
Associated Practice Facility / Clinic
🏢 Ham Lake Dental Pa Facility NPI 1205915881

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ham Lake, MN

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

Practicing in Ham Lake, 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

CMS Verified: 2026-06-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D15447

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. Michele Revoir , DDS

Dentist - General Practice

NPI 1205987872

Doctor of Dental Surgery

Dr. Jeffrey Wendt , DDS

Dentist - General Practice

NPI 1548310709

Doctor of Dental Surgery

Dr. Scott Kirkhoff , DDS

Dentist - General Practice

NPI 1659421824

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 June 10, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2026

Registered at 16220 ABERDEEN ST NE STE A1, HAM LAKE, MN 553045421 (Tel: 7634344188)

📍
Updated Business Mailing Address June 10, 2026

Registered at 90 S 9TH ST APT 1308, MINNEAPOLIS, MN 554023279 (Tel: 2182693558)

👤
Provider Name / Credentials Updated June 10, 2026

Recorded as SCOTT IMBERG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2026

Dentist (License #D15447 in MN)

🟢
Initial NPI Registration & Enumeration June 08, 2026

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: 1659204584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2026
Last Update: June 10, 2026
Sole Proprietor: No

Mailing Address

90 S 9th St Apt 1308

Minneapolis, MN 554023279

Phone: 2182693558

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.