Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972656569 Individual Practitioner Male Practitioner

Dr. Prem Kumar , DDS

Dentist - General Practice • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Prem Kumar, DDS is a registered healthcare professional specializing in Dentist - General Practice in Minneapolis, MN. Practice services are available at 3803 SILVER LAKE RD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3803 Silver Lake Rd Ne

Minneapolis, MN 554214574

Telephone 6127827000
Associated Practice Facility / Clinic
🏢 Twin Cities Dental Facility NPI 1871750026

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: 2020-03-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D12142

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 Medical Assistance Number
937605400 (MN)

Secondary Practice Locations

11301 Fountains Dr

Maple Grove, MN 553697200

Phone: 7637627177

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1598440752

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 25, 2020

Registered at 3803 SILVER LAKE RD NE, MINNEAPOLIS, MN 554214574 (Tel: 6127827000)

📍
Updated Business Mailing Address March 25, 2020

Registered at 11301 FOUNTAINS DR, MAPLE GROVE, MN 553697200 (Tel: 7637627177)

👤
Provider Name / Credentials Updated March 25, 2020

Recorded as PREM KUMAR, DDS

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 195 JEFFERSON BLVD, BIG LAKE, MN 553099572 (Tel: 7632632222)

📍
Updated Business Mailing Address July 08, 2007

Registered at 307 7TH ST. E, APT 201, BIG LAKE, MN 55309 (Tel: 7632632222)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PEREM KUMAR, DDS

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

Dentist (License #D12142 in MN)

🟢
Initial NPI Registration & Enumeration January 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Prem Kumar. Be the first to share your experience!

Sign in to leave a review for Dr. Prem Kumar

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972656569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2007
Last Update: March 25, 2020
Sole Proprietor: No

Mailing Address

11301 Fountains Dr

Maple Grove, MN 553697200

Phone: 7637627177

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.