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Active NPI 1457322489 Individual Practitioner Male Practitioner

Dr. Gary Ralph Smisek , DDS

Dentist - General Practice • Shoreview, MN

Professional Overview & Biography Verified Profile Summary

Dr. Gary Smisek, DDS is a registered healthcare professional specializing in Dentist - General Practice in Shoreview, MN. Practice services are available at 501 TANGLEWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 Tanglewood Dr

Shoreview, MN 551262016

Telephone 6514836747
Fax 7077604579
Associated Practice Facility / Clinic
🏢 Smisek Family Dentistry P.a. Facility NPI 1457570194

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shoreview, MN

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

Practicing in Shoreview, 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 7909

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. Ronald Smisek , DDS

Dentist - General Practice

NPI 1144384207

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 501 TANGLEWOOD DR, SHOREVIEW, MN 551262016 (Tel: 6514836747)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1986 SHARONDALE AVE, ROSEVILLE, MN 551135437 (Tel: 6516364063)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GARY SMISEK, D.D.S.

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

Dentist (License #7909 in MN)

🟢
Initial NPI Registration & Enumeration January 28, 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: 1457322489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1986 Sharondale Ave

Roseville, MN 551135437

Phone: 6516364063

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.