Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467146555 Individual Practitioner Male Practitioner

Dr. Tevin Michael Moreno , DDS

Dentist - General Practice • Thief River Falls, MN

Professional Overview & Biography Verified Profile Summary

Dr. Tevin Moreno, DDS is a registered healthcare professional specializing in Dentist - General Practice in Thief River Falls, MN. Practice services are available at 318 LABREE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

318 Labree Ave N

Thief River Falls, MN 567012037

Telephone 2186531165

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Thief River Falls, MN

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

Practicing in Thief River Falls, 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

CMS Verified: 2023-10-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D14895

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

8 Historical Events
📍
Updated Practice Location September 01, 2023

Registered at 318 LABREE AVE N, THIEF RIVER FALLS, MN 567012037 (Tel: 2186531165)

📍
Updated Business Mailing Address September 01, 2023

Registered at 1114 LABREE AVE N, THIEF RIVER FALLS, MN 567011222 (Tel: 2186869361)

NPI Profile Active June 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2023

Registered at 214 LABREE AVE N, THIEF RIVER FALLS, MN 567012035 (Tel: 2186813233)

📍
Updated Business Mailing Address June 05, 2023

Registered at 2330 7TH ST N, NORTH SAINT PAUL, MN 551092845 (Tel: 2186869361)

👤
Provider Name / Credentials Updated June 05, 2023

Recorded as TEVIN MORENO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2023

Dentist (License #D14895 in MN)

🟢
Initial NPI Registration & Enumeration June 05, 2023

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: 1467146555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2023
Last Update: October 07, 2023
Sole Proprietor: No

Mailing Address

1114 Labree Ave N

Thief River Falls, MN 567011222

Phone: 2186869361

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.