Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700941218 Individual Practitioner Female Practitioner

Dr. Phuong Kim Do , DDS

Dentist • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Phuong Do, DDS is a registered healthcare professional specializing in Dentist 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 554132150

Telephone 6127461530
Fax 6127461531
Associated Practice Facility / Clinic
🏢 Childrens Dental Services Inc Facility NPI 1407973605

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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D10717

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

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 636 BROADWAY ST NE, MINNEAPOLIS, MN 554132150 (Tel: 6127461530)

📍
Updated Business Mailing Address July 08, 2007

Registered at 636 BROADWAY ST NE, MINNEAPOLIS, MN 554132150 (Tel: 6127461530)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHUONG DO, D.D.S.

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

Dentist (License #D10717 in MN)

🟢
Initial NPI Registration & Enumeration December 26, 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: 1700941218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

636 Broadway St Ne

Minneapolis, MN 554132150

Phone: 6127461530

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.