DR. MATTHEW HENDRICKSON (NPI# 1861554719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861554719 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW HENDRICKSON |
| Credential | DDS |
| Practice Address |
8980 Hudson Blvd N Lake Elmo MN 55042-9704 |
| Practice Telephone | 6517359057 |
| Mailing Telephone | (651) 735-9057 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2017-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D12263 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 137739600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164654372 | Matthew S Hendrickson | Optometrist | 837 Westmore Meyers Rd Ste A24, Lombard, IL 60148-6516 | 2009-08-20 |
| 1083048243 | Matthew Gerard Hendrickson | Physical Therapy Assistant | 10150 W National Ave, Suite 150, Milwaukee, WI 53227-2145 | 2013-08-23 |
| 1205844628 | Matthew B Hendrickson | Dentist | 2415 S Austin Ave, Ste 101, Denison, TX 75020-7741 | 2006-08-03 |
| 1376584573 | Matthew S Hendrickson | Emergency Medicine | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2006-06-09 |
| Street Address |
8980 HUDSON BLVD N |
| City | LAKE ELMO |
| State | MN |
| Zip Code | 55042-9704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760540280 | Pdg, P.a | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2006-12-05 |
| 1477093664 | Tyler Tarman | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2017-03-07 |
| 1144458605 | Heather J Schute | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2009-06-23 |
| 1477677946 | Orthodontic Care Group | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2007-03-19 |
| 1477692226 | Lisa Power | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2007-02-06 |
| 1639239403 | Jennifer Ann Weydert | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2006-12-11 |
| 1083773568 | David Gordon Naegeli | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2006-12-08 |
| 1235298746 | Elena Lozne | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811440738 | Eleni Voltidi | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2016-07-27 |
| 1760781314 | Swedehill Lifecare, LLC | Home Health | 8951 Highway 5, Lake Elmo, MN 55042 | 2011-03-22 |
| 1295859676 | St Croix Valley Dental Pllc | Dentist | 10035 City Walk Dr, Ste A Lake Elmo Dental, Lake Elmo, MN 55042 | 2007-03-19 |
| 1245281823 | Kent Gregory Brockmann | Psychiatry & Neurology | 8673 Eagle Point Blvd, Lake Elmo, MN 55042 | 2006-05-16 |
| 1396722674 | Nancy L Johnson-rauen | Physical Therapist | 9242 Hudson Blvd N Ste 400, Lake Elmo, MN 55042 | 2005-12-28 |
| 1639655384 | Katlyn Arndt | Psychiatry & Neurology | 8515 Eagle Point Blvd, Lake Elmo, MN 55042 | 2018-07-16 |
| 1295227247 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2018-06-05 |
| 1396120473 | Pdg, Pa | Clinic/Center | 8650 Hudson Blvd N, Suite 105, Lake Elmo, MN 55042 | 2015-07-30 |
| 1124455324 | Leslie Markowitz | Psychologist | 8550 Hudson Blvd N, Lake Elmo, MN 55042 | 2013-10-02 |
| 1215295001 | Jessica R Baltz | Marriage & Family Therapist | 3819 Laverne Ave N, Lake Elmo, MN 55042 | 2012-04-30 |
| Find all providers in zip 55042 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760540280 | Pdg, P.a | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2006-12-05 |
| 1073613642 | Dennis James Grabowski | Dentist | 8981 Highway 5, Lake Elmo, MN 55042-8900 | 2006-09-24 |
| 1831121045 | Laurie Lee Stodola | Dentist | 12425 55th St N, Lake Elmo, MN 55042-7403 | 2006-07-07 |
| 1477093664 | Tyler Tarman | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2017-03-07 |
| 1144458605 | Heather J Schute | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2009-06-23 |
| 1265644926 | Valley Ridge Dental, LLC | Dentist | 12425 55th St N, Lake Elmo, MN 55042-7403 | 2007-05-04 |
| 1639239403 | Jennifer Ann Weydert | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2006-12-11 |
| 1083773568 | David Gordon Naegeli | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2006-12-08 |
| 1235298746 | Elena Lozne | Dentist | 8980 Hudson Blvd N, Lake Elmo, MN 55042-9704 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.