Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861554719 Individual Practitioner Male Practitioner

Dr. Matthew Hendrickson , DDS

Dentist - General Practice • Lake Elmo, MN

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Hendrickson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lake Elmo, MN. Practice services are available at 8980 HUDSON BLVD N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8980 Hudson Blvd N

Lake Elmo, MN 550429704

Telephone 6517359057
Associated Practice Facility / Clinic
🏢 Pdg, P.a Facility NPI 1760540280

Specialty Benchmarks & Practice Insights

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

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

Practicing in Lake Elmo, 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 D12263

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

Medicaid State Provider ID
137739600 (MN)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. David Naegeli , DDS

Dentist - General Practice

NPI 1083773568

Doctor of Dental Surgery

Dr. Heather Schute , DDS

Dentist - General Practice

NPI 1144458605

Doctor of Dental Surgery

Dr. Elena Lozne , DDS

Dentist - General Practice

NPI 1235298746

Doctor of Dental Surgery

Dr. Tyler Tarman , DDS

Dentist - General Practice

NPI 1477093664

Doctor of Dental Surgery

NPI 1477692226

Doctor of Dental Surgery

Dr. Jennifer Weydert , DDS

Dentist - General Practice

NPI 1639239403

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active July 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2017

Registered at 8980 HUDSON BLVD N, LAKE ELMO, MN 550429704 (Tel: 6517359057)

📍
Updated Business Mailing Address July 11, 2017

Registered at 8980 HUDSON BLVD N, LAKE ELMO, MN 550429704 (Tel: (651) 735-9057)

👤
Provider Name / Credentials Updated July 11, 2017

Recorded as MATTHEW HENDRICKSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2017

Dentist (License #D12263 in MN)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1835 COUNTY ROAD C W STE 220, ROSEVILLE, MN 551131343 (Tel: 6516362123)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11007 OAK GROVE CIR, WOODBURY, MN 551298738 (Tel: 6513371080)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MATHEW HENDRICKSON, DDS

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

Dentist (License #D12263 in MN)

🟢
Initial NPI Registration & Enumeration December 15, 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: 1861554719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

8980 Hudson Blvd N

Lake Elmo, MN 550429704

Phone: 6517359057

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.