Individual provider · Type 1 NPI

Miranda Thacker, DDS

Pediatric Dentistry · Minneapolis, MN

NPI number 1710876578 Active

Practice location

701 25th Ave S Ste 400
Minneapolis, MN 55454-1443

Call (612) 626-7232 Map

Mailing address

8994 Neill Lake Rd
Eden Prairie, MN 55347-2036

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD15303 (MN)

Pediatric Dentistry: 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.

15 other providers at this address

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About NPI 1710876578

Miranda Thacker, DDS's National Provider Identifier is 1710876578, issued on Jun 28, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 28, 2025.