Individual provider · Type 1 NPI

Thomas John Cornelissen, DDS

General Practice Dentistry · Minneapolis, MN

NPI number 1053364513 Active

Practice location

3262 W Lake St
Minneapolis, MN 55416-4512

Call (612) 925-6010 Map

Fax (612) 925-4907

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X9908 (MN)

General Practice Dentistry: 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.

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About NPI 1053364513

Thomas John Cornelissen, DDS's National Provider Identifier is 1053364513, issued on May 18, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 13, 2026.