Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720063589 Individual Practitioner Male Practitioner

Dr. Jon E Cruz , DDS

Dentist - General Practice • Pine City, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jon Cruz, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pine City, MN. Practice services are available at 505 JOHNSON AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

505 Johnson Ave Se

Pine City, MN 550632108

Telephone 3206292282
Fax 3206293357
Associated Practice Facility / Clinic
🏢 Oak Park Dental Clinic Facility NPI 1508036070

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pine City, MN

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

Practicing in Pine City, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN 11488

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Carrie Carlson , DDS

Dentist - General Practice

NPI 1568433563

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 August 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2013

Registered at 505 JOHNSON AVE SE, PINE CITY, MN 550632108 (Tel: 3206292282)

📍
Updated Business Mailing Address August 07, 2013

Registered at 505 JOHNSON AVE SE, PINE CITY, MN 550632108 (Tel: 3206292282)

👤
Provider Name / Credentials Updated August 07, 2013

Recorded as JON CRUZ, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2013

Dentist (License #11488 in MN)

🟢
Initial NPI Registration & Enumeration December 14, 2005

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: 1720063589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2005
Last Update: August 07, 2013
Sole Proprietor: Yes

Mailing Address

505 Johnson Ave Se

Pine City, MN 550632108

Phone: 3206292282

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.