Active NPI 1316081862 Individual Practitioner Male Practitioner

Dr. Thomas Smyth , DDS

Dentist - General Practice • Mankato, MN

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Smyth, DDS is a registered healthcare professional specializing in Dentist - General Practice in Mankato, MN. Practice services are available at 1211 CALEDONIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1211 Caledonia St

Mankato, MN 560014329

Telephone 5073455138

Fax 5073455130

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mankato, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 33.3 Yrs

Regional Practice Density

19 Specialists

Practicing in Mankato, 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: 2020-07-20

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D11667

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

193420100 (MN)

Secondary Practice Locations

1421 Wayzata Blvd Ste 325

Wayzata, MN 553911918

Phone: 9524766655

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Alfred Anderson , DDS

Dentist - General Practice

NPI 1144215112

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 1211 CALEDONIA ST, MANKATO, MN 560014329 (Tel: 5073455138)

📍

Updated Business Mailing Address July 08, 2007

Registered at 510 COTTONWOOD LN, NEW PRAGUE, MN 560712073 (Tel: 9527582932)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS SMYTH, D.D.S.

🎓

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

Dentist (License #D11667 in MN)

🟢

Initial NPI Registration & Enumeration February 17, 2007

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: 1316081862

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 17, 2007

Last Update: July 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

510 Cottonwood Ln

New Prague, MN 560712073

Phone: 9527582932

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.