Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871663914 Individual Practitioner Male Practitioner

Dr. Dedric Rolf Mcbroom , DDS

Dentist - General Practice • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. Dedric Mcbroom, DDS is a registered healthcare professional specializing in Dentist - General Practice in Saint Cloud, MN. Practice services are available at 1201 MAINE PRAIRIE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1201 Maine Prairie Rd

Saint Cloud, MN 563014881

Telephone 3202526233
Fax 3202529261
Associated Practice Facility / Clinic
🏢 River City Dental, Llc Facility NPI 1356411417

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Cloud, MN

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

Practicing in Saint Cloud, 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 11233

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. Aaron Imdieke , DDS

Dentist - General Practice

NPI 1124198254

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 1201 MAINE PRAIRIE RD, SAINT CLOUD, MN 563014881 (Tel: 3202526233)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 280, SAINT CLOUD, MN 563020280 (Tel: 3202526233)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DEDRIC MCBROOM, D.D.S.

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

Dentist (License #11233 in MN)

🟢
Initial NPI Registration & Enumeration November 08, 2006

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: 1871663914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 280

Saint Cloud, MN 563020280

Phone: 3202526233

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.