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Active NPI 1558385377 Individual Practitioner Male Practitioner

Dr. John David Collier , DDS

Dentist - Pediatric Dentistry • St. Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Collier, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in St. Cloud, MN. Practice services are available at 3950 VETERANS DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3950 Veterans Drive
Suite 102

St. Cloud, MN 56303

Telephone 3202538380
Fax 3202538419
Associated Practice Facility / Clinic
🏢 Koala Dental Care, Llc Facility NPI 1730360355

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in St. Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in St. Cloud, MN (133 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 - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License MN D11694

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License MN 11694

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
839677900 (MN)
Commercial Insurance / Payer ID License
D11694 (MN)
Commercial Insurance / Payer ID Dental License
11694 (MN)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Renee Bechly , DMD

Dentist - Pediatric Dentistry

NPI 1154178887

Doctor of Dental Medicine

Dr. Emma Zimmerman , DMD

Dentist - Pediatric Dentistry

NPI 1215317730

Doctor of Dental Medicine

Dr. John Collier , DDS

Dentist - Pediatric Dentistry

NPI 1386668101

Doctor of Dental Surgery

Dr. Aruna Rao , DDS

Dentist - Pediatric Dentistry

NPI 1548527708

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 06, 2023

Registered at 3950 VETERANS DRIVE, SUITE 102, ST. CLOUD, MN 56303 (Tel: 3202538380)

📍
Updated Business Mailing Address December 06, 2023

Registered at 3950 VETERANS DRIVE, SUITE 102, ST. CLOUD, MN 56303 (Tel: 3202538380)

👤
Provider Name / Credentials Updated December 06, 2023

Recorded as JOHN COLLIER, DDS

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1521 NORTHWAY DR, SUITE 108, SAINT CLOUD, MN 563034489 (Tel: 3202538380)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1521 NORTHWAY DR, SUITE 108, SAINT CLOUD, MN 563034489 (Tel: 3202538380)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN COLLIER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #11694 in MN)

🟢
Initial NPI Registration & Enumeration July 26, 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: 1558385377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2006
Last Update: December 06, 2023
Sole Proprietor: Yes

Mailing Address

3950 Veterans Drive, Suite 102

St. Cloud, MN 56303

Phone: 3202538380

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.