Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407915432 Individual Practitioner Male Practitioner

Dr. John Clayton Withrow , DDS

Dentist - Endodontics • Lake Elmo, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Withrow, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Lake Elmo, MN. Practice services are available at 8650 HUDSON BLVD N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8650 Hudson Blvd N
Suite105

Lake Elmo, MN 550429747

Telephone 6516361072
Fax 6515011471
Associated Practice Facility / Clinic
🏢 East Metro Asc Llc Facility NPI 1902805278

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Lake Elmo, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Lake Elmo, MN (108 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License MN D11398

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. David Naegeli , DDS

Dentist - General Practice

NPI 1083773568

Doctor of Dental Surgery

Dr. Elena Lozne , DDS

Dentist - General Practice

NPI 1235298746

Doctor of Dental Surgery

Dr. Jennifer Weydert , DDS

Dentist - General Practice

NPI 1639239403

Doctor of Dental Surgery

Dr. Alan Law , DDS, PhD

Dentist - Endodontics

NPI 1710930573

Doctor of Dental Surgery, Doctor of Philosophy (Ph.D.)

Dr. Alfredo Montes Imeri , DDS, MS

Dentist - Prosthodontics

NPI 1982763454

Doctor of Dental Surgery, Master of Science

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 8650 HUDSON BLVD N, SUITE105, LAKE ELMO, MN 550429747 (Tel: 6516361072)

📍
Updated Business Mailing Address July 08, 2007

Registered at 14801 SUMMIT OAKS DR, BURNSVILLE, MN 553374789 (Tel: 9524313548)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN WITHROW, DDS

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

Dentist (License #D11398 in MN)

🟢
Initial NPI Registration & Enumeration December 06, 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: 1407915432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

14801 Summit Oaks Dr

Burnsville, MN 553374789

Phone: 9524313548

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.