Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932117769 Individual Practitioner Male Practitioner

Dr. Michael Manfred Pelke , DDS

Dentist - General Practice • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Pelke, DDS is a registered healthcare professional specializing in Dentist - General Practice in Saint Paul, MN. Practice services are available at 215 RADIO DR STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

215 Radio Dr Ste 201

Saint Paul, MN 551255815

Telephone 6517397910
Fax 6517390611
Associated Practice Facility / Clinic
🏢 Woodbury Dental Care Facility NPI 1790351716

Specialty Benchmarks & Practice Insights

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

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
122 Specialists

Practicing in Saint Paul, 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: 2022-09-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D11646

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

3 Associated Practitioners
Dr. Kyle Edlund , DDS

Dentist - General Practice

NPI 1497821391

Doctor of Dental Surgery

Dr. Charles Shimota , DDS

Dentist - General Practice

NPI 1598459489

Doctor of Dental Surgery

Dr. David Augustson , DDS

Dentist - General Practice

NPI 1851716682

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 12, 2022

Registered at 215 RADIO DR STE 201, SAINT PAUL, MN 551255815 (Tel: 6517397910)

📍
Updated Business Mailing Address September 12, 2022

Registered at 215 RADIO DR STE 201, SAINT PAUL, MN 551255815 (Tel: 6517397910)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3060B WOODBURY DR, WOODBURY, MN 551299617 (Tel: 6517397910)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3060B WOODBURY DR, WOODBURY, MN 551299617 (Tel: 6517397910)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL PELKE, D.D.S.

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

Dentist (License #D11646 in MN)

🟢
Initial NPI Registration & Enumeration August 04, 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: 1932117769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: September 12, 2022
Sole Proprietor: No

Mailing Address

215 Radio Dr Ste 201

Saint Paul, MN 551255815

Phone: 6517397910

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.