Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821538265 Individual Practitioner Male Practitioner

Dr. Michael Henderson , DDS

Dentist • Shoreview, MN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Henderson, DDS is a registered healthcare professional specializing in Dentist in Shoreview, MN. Practice services are available at 3200 LEXINGTON AVE N STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3200 Lexington Ave N Ste B

Shoreview, MN 551268118

Telephone 6512558888

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Shoreview, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Shoreview, MN (1863 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: 2021-02-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D13957

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MN D13957

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.

Secondary Practice Locations

606 24th Ave S, Suite 200

Minneapolis, MN 554541455

Phone: 6126598689

1670 Beam Ave Ste 204

Maplewood, MN 551091227

Phone: 6519258400

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Diane Zimmerman , DDS

Dentist - General Practice

NPI 1619186400

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location February 16, 2021

Registered at 3200 LEXINGTON AVE N STE B, SHOREVIEW, MN 551268118 (Tel: 6512558888)

📍
Updated Business Mailing Address February 16, 2021

Registered at 3200 LEXINGTON AVE N STE B, SHOREVIEW, MN 551268118 (Tel: 6512558888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2021

Dentist (License #D13957 in MN)

📍
Updated Practice Location January 19, 2019

Registered at 1670 BEAM AVE STE 204, MAPLEWOOD, MN 551091227 (Tel: 6519258400)

👤
Provider Name / Credentials Updated January 19, 2019

Recorded as MICHAEL HENDERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2019

Dentist (License #D13957 in MN)

NPI Profile Active March 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2017

Registered at 606 24TH AVE S, SUITE 200, MINNEAPOLIS, MN 554541455 (Tel: 6126598689)

📍
Updated Business Mailing Address March 05, 2017

Registered at 820 EMERALD ST, UNIT 413, SAINT PAUL, MN 551141062 (Tel: 5079932037)

👤
Provider Name / Credentials Updated March 05, 2017

Recorded as MICHAEL HENDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 05, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Michael Henderson. Be the first to share your experience!

Sign in to leave a review for Dr. Michael Henderson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1821538265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2017
Last Update: February 16, 2021
Sole Proprietor: Yes

Mailing Address

3200 Lexington Ave N Ste B

Shoreview, MN 551268118

Phone: 6512558888

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.