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DR. MYRON A HENRICKSON DDS
NPI 1023231776
Dentist - General Practice in Lakeville, MN

Active since April 11, 2007
17436 KENWOOD TRL, LAKEVILLE, MN 55044(952) 241-5899(952) 241-5897 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Myron A Henrickson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MYRON A HENRICKSON DDS (NPI 1023231776) is an individual general practice provider in Lakeville, Minnesota, licensed in Minnesota (D9492) and active in the NPI registry since April 2007. He maintains a secondary practice location in Lakeville.

NPPES Registry Identity

NPI1023231776
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MYRON A HENRICKSONCredential: DDS
Location Address17436 KENWOOD TRLLakeville, MN 55044
Mailing Address2200 County Road C W Ste 2210Roseville, MN 55113-2551 · (952) 241-5899
Phone(952) 241-5899
Fax(952) 241-5897
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 26, 2018
✔ NPI 1023231776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D9492
Definition
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.
17436 KENWOOD TRL, Lakeville, MN 55044
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Secondary Practice Location 1

Location 117436 Kenwood TrlLakeville, MN 55044-9219 · Phone (952) 241-5899

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PDG, P.A.
Clinic/Center (Dental)
17436 KENWOOD TRL
LAKEVILLE, MN 55044
Dakota County (952) 241-5899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myron Henrickson's NPI number?

The NPI number for Myron Henrickson is 1023231776. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Myron Henrickson located?

Myron Henrickson practices at 17436 Kenwood Trl, Lakeville, MN 55044. The listed phone number is (952) 241-5899.

What is Myron Henrickson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Myron Henrickson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental and 1 other insurer list Myron Henrickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Myron Henrickson was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.