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Active NPI 1912060674 Individual Practitioner Male Practitioner

Dr. Craig J Brandenburg , DDS

Dentist - General Practice • Spring Park, MN

Professional Overview & Biography Verified Profile Summary

Dr. Craig Brandenburg, DDS is a registered healthcare professional specializing in Dentist - General Practice in Spring Park, MN. Practice services are available at 4165 SHORELINE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4165 Shoreline Dr
Suite 30

Spring Park, MN 553849659

Telephone 9524710047
Fax 9524178665
Associated Practice Facility / Clinic
🏢 Changemaker, Inc. Facility NPI 1508156977

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spring Park, MN

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

Practicing in Spring Park, 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 D9418

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.

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 4165 SHORELINE DR, SUITE 30, SPRING PARK, MN 553849659 (Tel: 9524710047)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4165 SHORELINE DR, SUITE 30, SPRING PARK, MN 553849659 (Tel: 9524710047)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CRAIG BRANDENBURG, D.D.S.

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

Dentist (License #D9418 in MN)

🟢
Initial NPI Registration & Enumeration December 17, 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: 1912060674
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4165 Shoreline Dr, Suite 30

Spring Park, MN 553849659

Phone: 9524710047

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.