Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477645703 Individual Practitioner Male Practitioner

Dr. Paul K Wallin , DDS

Dentist - General Practice • Maplewood, MN

Professional Overview & Biography Verified Profile Summary

Dr. Paul Wallin, DDS is a registered healthcare professional specializing in Dentist - General Practice in Maplewood, MN. Practice services are available at 1270 COPE AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1270 Cope Ave E

Maplewood, MN 55109

Telephone 6514828332
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Maplewood, MN

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

Practicing in Maplewood, 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 9636

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

Commercial Insurance / Payer ID Blue Cross Blue Shield
56701WA (MN)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Bruce Haglund , DDS

Dentist - General Practice

NPI 1740398288

Doctor of Dental Surgery

NPI 1982712428

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 1270 COPE AVE E, MAPLEWOOD, MN 55109 (Tel: 6514828332)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1270 COPE AVE E, MAPLEWOOD, MN 55109 (Tel: 6514828332)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL WALLIN, DDS

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

Dentist (License #9636 in MN)

🟢
Initial NPI Registration & Enumeration September 28, 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: 1477645703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1270 Cope Ave E

Maplewood, MN 55109

Phone: 6514828332

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.