Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710876578 Individual Practitioner Female Practitioner

Dr. Miranda Thacker , DDS

Dentist - Pediatric Dentistry • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Miranda Thacker, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Minneapolis, MN. Practice services are available at 701 25TH AVE S STE 400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

701 25th Ave S Ste 400

Minneapolis, MN 554541443

Telephone 6126267232
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Minneapolis, MN (133 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: 2025-06-28
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License MN D15303

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Ryan Mceldowney , DMD

Student in an Organized Health Care Education/Training Program

NPI 1194402305

Doctor of Dental Medicine

Dr. Mahmoud Mire , DDS

Dentist - Pediatric Dentistry

NPI 1659065043

Doctor of Dental Surgery

Sophie Chweya

Student in an Organized Health Care Education/Training Program

NPI 1720923881

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 28, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2025

Registered at 701 25TH AVE S STE 400, MINNEAPOLIS, MN 554541443 (Tel: 6126267232)

📍
Updated Business Mailing Address June 28, 2025

Registered at 8994 NEILL LAKE RD, EDEN PRAIRIE, MN 553472036

👤
Provider Name / Credentials Updated June 28, 2025

Recorded as MIRANDA THACKER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2025

Dentist (License #D15303 in MN)

🟢
Initial NPI Registration & Enumeration June 28, 2025

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: 1710876578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2025
Last Update: June 28, 2025
Sole Proprietor: Yes

Mailing Address

8994 Neill Lake Rd

Eden Prairie, MN 553472036

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.