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Active NPI 1265059240 Individual Practitioner Female Practitioner

Dr. Max Adderstone , DDS

Dentist - General Practice • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Max Adderstone, DDS is a registered healthcare professional specializing in Dentist - General Practice in Minneapolis, MN. Practice services are available at 636 BROADWAY ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

636 Broadway St Ne

Minneapolis, MN 55413

Telephone 5157708529
Associated Practice Facility / Clinic
🏢 Children's Dental Services Facility NPI 1669842662

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: 2020-06-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN 1265059240

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

NUCC Taxonomy Code: 122300000X

State License IA DDS-09781

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MN D14523

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

40 Associated Practitioners
Heather Glockle , RDH

Dental Hygienist

NPI 1013239359

Registered Dental Hygienist

NPI 1023348869

Registered Dental Hygienist, Master of Education

Nicole Mathew , DT

Dental Therapist

NPI 1073013322
Teresa Bushnell

Dental Therapist

NPI 1114315678
Trina Courtright , DT

Dental Therapist

NPI 1124416789
Becky Lommen

Dental Hygienist

NPI 1154710994

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 18, 2024

Registered at 636 BROADWAY ST NE, MINNEAPOLIS, MN 55413 (Tel: 5157708529)

📍
Updated Business Mailing Address January 18, 2024

Registered at 636 BROADWAY ST NE, MINNEAPOLIS, MN 55413 (Tel: 5157708529)

👤
Provider Name / Credentials Updated January 18, 2024

Recorded as MAX ADDERSTONE, DDS

NPI Profile Active June 25, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2020

Registered at 2720 STANGE RD, AMES, IA 500103974 (Tel: 5157708529)

📍
Updated Business Mailing Address June 25, 2020

Registered at 3720 TIVERTON CT UNIT 201, AMES, IA 500104202 (Tel: 5157708529)

👤
Provider Name / Credentials Updated June 25, 2020

Recorded as AMY MAYSE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2020

Dentist (License #DDS-09781 in IA)

🟢
Initial NPI Registration & Enumeration June 25, 2020

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: 1265059240
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2020
Last Update: January 18, 2024
Sole Proprietor: No

Mailing Address

636 Broadway St Ne

Minneapolis, MN 55413

Phone: 5157708529

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.