Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952985574 Individual Practitioner Female Practitioner

Dr. Madison Rae Dickovich , DMD

Dentist - General Practice • Rochester, MN

Professional Overview & Biography Verified Profile Summary

Dr. Madison Dickovich, DMD is a registered healthcare professional specializing in Dentist - General Practice in Rochester, MN. Practice services are available at 2056 SUPERIOR DR NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2056 Superior Dr Nw

Rochester, MN 559015024

Telephone 5073154015
Associated Practice Facility / Clinic
🏢 Northwest Dental Group Facility NPI 1386999290

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rochester, MN

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

Practicing in Rochester, 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: 2022-01-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D14584

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Jongseuk Lim , DDS

Dentist - General Practice

NPI 1104434380

Doctor of Dental Surgery

Dr. Ashly Matzek , DMD

Dentist - General Practice

NPI 1184480899

Doctor of Dental Medicine

NPI 1417399494

Doctor of Dental Surgery

Dr. Ruo-Hsuan Chen , DMD

Dentist - General Practice

NPI 1598006363

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated January 26, 2022

Recorded as MADISON DICKOVICH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2022

Dentist (License #D14584 in MN)

NPI Profile Active May 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2021

Registered at 2056 SUPERIOR DR NW, ROCHESTER, MN 559015024 (Tel: 5073154015)

📍
Updated Business Mailing Address May 10, 2021

Registered at 16299 STEMMER RIDGE RD NW, SHAKOPEE, MN 553799476 (Tel: 9527973238)

👤
Provider Name / Credentials Updated May 10, 2021

Recorded as MADISON BERGERON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 10, 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: 1952985574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2021
Last Update: January 26, 2022
Sole Proprietor: No

Mailing Address

16299 Stemmer Ridge Rd Nw

Shakopee, MN 553799476

Phone: 9527973238

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.