Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053364513 Individual Practitioner Male Practitioner

Dr. Thomas John Cornelissen , DDS

Dentist - General Practice • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Cornelissen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Minneapolis, MN. Practice services are available at 3262 W LAKE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3262 W Lake St

Minneapolis, MN 554164512

Telephone 6129256010
Fax 6129254907
Associated Practice Facility / Clinic
🏢 Wolfe Dental Pllc Facility NPI 1811755341

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
214 Specialists

Practicing in Minneapolis, 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 9908

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.

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 3262 W LAKE ST, MINNEAPOLIS, MN 554164512 (Tel: 6129256010)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3262 W LAKE ST, MINNEAPOLIS, MN 554164512 (Tel: 6129256010)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS CORNELISSEN, D.D.S.

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

Dentist (License #9908 in MN)

🟢
Initial NPI Registration & Enumeration May 18, 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: 1053364513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

3262 W Lake St

Minneapolis, MN 554164512

Phone: 6129256010

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.