Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316515349 Individual Practitioner Male Practitioner

Dr. Shay Mieczkowski , DDS

Dentist • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Shay Mieczkowski, DDS is a registered healthcare professional specializing in Dentist in Minneapolis, MN. Practice services are available at 515 DELAWARE ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

515 Delaware St Se

Minneapolis, MN 554550357

Telephone 6126250402
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.3 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
242 Specialists

Practicing in Minneapolis, MN (1863 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: 2021-05-20
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D14549

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Annika Johnson , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1124766381

Doctor of Dental Surgery

Katelyn Beck

Dental Hygienist

NPI 1194487652
Dr. Hashem Dashtti , DDS

Dentist - Prosthodontics

NPI 1407527906

Doctor of Dental Surgery

NPI 1689037905

Doctor of Dental Surgery

NPI 1831838739

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 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2021

Registered at 515 DELAWARE ST SE, MINNEAPOLIS, MN 554550357 (Tel: 6126250402)

📍
Updated Business Mailing Address June 15, 2021

Registered at 1019 29TH AVE SE APT E, MINNEAPOLIS, MN 554142762 (Tel: 6128105166)

👤
Provider Name / Credentials Updated June 15, 2021

Recorded as SHAY MIECZKOWSKI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2021

Dentist (License #D14549 in MN)

🟢
Initial NPI Registration & Enumeration June 15, 2021

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: 1316515349
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2021
Last Update: June 15, 2021
Sole Proprietor: No

Mailing Address

1019 29th Ave Se Apt E

Minneapolis, MN 554142762

Phone: 6128105166

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.