Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710074638 Individual Practitioner Male Practitioner

Dr. Jonathan C Moren , DDS

Dentist - General Practice • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Moren, DDS is a registered healthcare professional specializing in Dentist - General Practice in Minneapolis, MN. Practice services are available at 410 CHURCH ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

410 Church St Se

Minneapolis, MN 55455

Telephone 6126255430
Fax 6126250539
Associated Practice Facility / Clinic

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 MN9493

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

3 Associated Practitioners
NPI 1245223486

Doctor of Dental Surgery

NPI 1548363195

Doctor of Dental Surgery

Dr. Chris Lebo , DDS

Dentist - General Practice

NPI 1750414561

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location May 22, 2018

Registered at 410 CHURCH ST SE, MINNEAPOLIS, MN 55455 (Tel: 6126255430)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4940 VIKING DR STE 127, EDINA, MN 554355306 (Tel: 9528353383)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4940 VIKING DR STE 127, EDINA, MN 554355306 (Tel: 9528353383)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN MOREN, D.D.S.

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

Dentist (License #MN9493 in MN)

🟢
Initial NPI Registration & Enumeration October 10, 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: 1710074638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: May 22, 2018
Sole Proprietor: No

Mailing Address

4940 Viking Dr Ste 127

Edina, MN 554355306

Phone: 9528353383

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.