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Active NPI 1962563874 Individual Practitioner Female Practitioner

Dr. Teresa Evelyn Johnson , DDS, MS, MPH, FASGD

Dentist - General Practice • Madelia, MN

Professional Overview & Biography Verified Profile Summary

Dr. Teresa Johnson, DDS, MS, MPH, FASGD is a registered healthcare professional specializing in Dentist - General Practice in Madelia, MN. Practice services are available at 115 DREW AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

115 Drew Ave Se

Madelia, MN 560621841

Telephone 5076428742
Fax 5076422926
Associated Practice Facility / Clinic
🏢 Apple Tree Dental Facility NPI 1518028091

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Madelia, MN

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

Practicing in Madelia, 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 D10071

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
503822700 (MN)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. David Bruzek , DDS

Dentist - General Practice

NPI 1003978693

Doctor of Dental Surgery

Haley Thomas , LDH ADT

Advanced Practice Dental Therapist

NPI 1821652710

LDHADT

Dr. Stephen Marquard , DDS

Dentist - General Practice

NPI 1831223833

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 February 22, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2012

Registered at 115 DREW AVE SE, MADELIA, MN 560621841 (Tel: 5076428742)

📍
Updated Business Mailing Address February 22, 2012

Registered at 115 DREW AVE SE, MADELIA, MN 560621841 (Tel: 5076428742)

👤
Provider Name / Credentials Updated February 22, 2012

Recorded as TERESA JOHNSON, DDS, MS, MPH, FASGD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2012

Dentist (License #D10071 in MN)

🟢
Initial NPI Registration & Enumeration December 13, 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: 1962563874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: February 22, 2012
Sole Proprietor: No

Mailing Address

115 Drew Ave Se

Madelia, MN 560621841

Phone: 5076428742

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.