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Active NPI 1508869371 Individual Practitioner Male Practitioner

Dr. John David Nydahl , DDS

Dentist - Endodontics • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Nydahl, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Saint Cloud, MN. Practice services are available at 1011 2ND ST N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1011 2nd St N
Ste 101

Saint Cloud, MN 563033237

Telephone 3202530744
Fax 3202539930
Associated Practice Facility / Clinic
🏢 St Cloud Family Dentistry Facility NPI 1518934306

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Saint Cloud, MN (108 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License MN D8204

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Nhanquyen Nguyen , DDS

Dentist - General Practice

NPI 1871784819

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1011 2ND ST N, STE 101, SAINT CLOUD, MN 563033237 (Tel: 3202530744)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1011 2ND ST N, STE 101, SAINT CLOUD, MN 563033237 (Tel: 3202530744)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN NYDAHL, D.D.S.

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

Dentist (License #D8204 in MN)

🟢
Initial NPI Registration & Enumeration May 24, 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: 1508869371
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1011 2nd St N, Ste 101

Saint Cloud, MN 563033237

Phone: 3202530744

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.