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Active NPI 1497843189 Individual Practitioner Male Practitioner

Dr. John Eugene Elvecrog , DDS

Dentist - General Practice • Shakopee, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Elvecrog, DDS is a registered healthcare professional specializing in Dentist - General Practice in Shakopee, MN. Practice services are available at 8170 OLD CARRIAGE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8170 Old Carriage Ct
Suite 150

Shakopee, MN 553793163

Telephone 9522248090
Fax 9522248095
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shakopee, MN

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

Practicing in Shakopee, 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 D11527

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
Lisa Raines , MA

Marriage & Family Therapist

NPI 1871851253

Master of Arts

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 8170 OLD CARRIAGE CT, SUITE 150, SHAKOPEE, MN 553793163 (Tel: 9522248090)

📍
Updated Business Mailing Address July 08, 2007

Registered at 17977 LIV LN, EDEN PRAIRIE, MN 553464106 (Tel: 9529344762)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN ELVECROG, D.D.S

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

Dentist (License #D11527 in MN)

🟢
Initial NPI Registration & Enumeration October 10, 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: 1497843189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

17977 Liv Ln

Eden Prairie, MN 553464106

Phone: 9529344762

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.