Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336765254 Individual Practitioner Female Practitioner

Dr. Caitlin Spacek , DDS

Dentist - General Practice • Moorhead, MN

Professional Overview & Biography Verified Profile Summary

Dr. Caitlin Spacek, DDS is a registered healthcare professional specializing in Dentist - General Practice in Moorhead, MN. Practice services are available at 2704 12TH ST S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2704 12th St S

Moorhead, MN 565604621

Telephone 2182330570
Associated Practice Facility / Clinic
🏢 Krista Johnson Dmd Pllc Facility NPI 1598203606

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Moorhead, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Moorhead, 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: 2024-05-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ND 2404

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License MN D14526

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.

Secondary Practice Locations

3300 32nd Ave S

Grand Forks, ND 582015801

Phone: 7017653494

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. David Tranby , DDS

Dentist - General Practice

NPI 1275609067

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location May 13, 2024

Registered at 2704 12TH ST S, MOORHEAD, MN 565604621 (Tel: 2182330570)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2024

Dentist (License #D14526 in MN)

📍
Updated Business Mailing Address October 13, 2022

Registered at 1650 45TH ST S STE 108, FARGO, ND 581033247 (Tel: 7015264652)

👤
Provider Name / Credentials Updated October 13, 2022

Recorded as CAITLIN SPACEK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2022

Dentist (License #2404 in ND)

NPI Profile Active June 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2020

Registered at 1650 45TH ST S STE 108, FARGO, ND 581033247 (Tel: 7015264652)

📍
Updated Business Mailing Address June 17, 2020

Registered at 709 WYNDEMERE DR, WEST FARGO, ND 580784039 (Tel: 7013714898)

👤
Provider Name / Credentials Updated June 17, 2020

Recorded as CAITLIN BUSSARD, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2020

Dentist (License #2404 in ND)

🟢
Initial NPI Registration & Enumeration June 17, 2020

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: 1336765254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2020
Last Update: May 13, 2024
Sole Proprietor: No

Mailing Address

1650 45th St S Ste 108

Fargo, ND 581033247

Phone: 7015264652

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.