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Active NPI 1073206454 Individual Practitioner Female Practitioner

Dr. Reilly Lynn Kroiss , DDS

Dentist - General Practice • Mound, MN

Professional Overview & Biography Verified Profile Summary

Dr. Reilly Kroiss, DDS is a registered healthcare professional specializing in Dentist - General Practice in Mound, MN. Practice services are available at 5205 SHORELINE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5205 Shoreline Dr

Mound, MN 553641770

Telephone 9524727717
Associated Practice Facility / Clinic
🏢 West Lakes Dentistry, Pa Facility NPI 1497113674

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mound, MN

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

Practicing in Mound, 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: 2023-05-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D14885

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 Minnesota Board Of Dentistry
D14885 (MN)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1538447644

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 May 31, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2023

Registered at 5205 SHORELINE DR, MOUND, MN 553641770 (Tel: 9524727717)

📍
Updated Business Mailing Address May 31, 2023

Registered at 5605 ZUMBRA DR, EXCELSIOR, MN 553317760 (Tel: 9526933233)

👤
Provider Name / Credentials Updated May 31, 2023

Recorded as REILLY KROISS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2023

Dentist (License #D14885 in MN)

🟢
Initial NPI Registration & Enumeration May 31, 2023

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: 1073206454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2023
Last Update: May 31, 2023
Sole Proprietor: No
Update or Correct Profile

Mailing Address

5605 Zumbra Dr

Excelsior, MN 553317760

Phone: 9526933233

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.