Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144063249 Individual Practitioner Female Practitioner

Dr. Jacilyn Thomas , DDS

Dentist - General Practice • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jacilyn Thomas, DDS is a registered healthcare professional specializing in Dentist - General Practice in Minneapolis, MN. Practice services are available at 1632 WASHINGTON ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1632 Washington St Ne

Minneapolis, MN 554131336

Telephone 6127892853
Associated Practice Facility / Clinic
🏢 Kim F Larson Facility NPI 1437267598

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

CMS Verified: 2024-06-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D15097

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MN D10597

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Kim Larson , DDS

Dentist - General Practice

NPI 1043328107

Doctor of Dental Surgery

NPI 1194044842

Doctor of Dental Surgery

Dr. Cory Larson , DDS

Dentist - General Practice

NPI 1487762548

Doctor of Dental Surgery

Dr. Kallie Delveaux , DDS

Dentist - General Practice

NPI 1497311245

Doctor of Dental Surgery

Dr. Aleksa Tataryn , DDS

Dentist - General Practice

NPI 1558101246

Doctor of Dental Surgery

NPI 1861061889

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 June 28, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2024

Registered at 1632 WASHINGTON ST NE, MINNEAPOLIS, MN 554131336 (Tel: 6127892853)

📍
Updated Business Mailing Address June 28, 2024

Registered at 1632 WASHINGTON ST NE, MINNEAPOLIS, MN 554131336 (Tel: 6127892853)

👤
Provider Name / Credentials Updated June 28, 2024

Recorded as JACILYN THOMAS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2024

Dentist (License #D10597 in MN)

🟢
Initial NPI Registration & Enumeration June 17, 2024

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: 1144063249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2024
Last Update: June 28, 2024
Sole Proprietor: No

Mailing Address

1632 Washington St Ne

Minneapolis, MN 554131336

Phone: 6127892853

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.