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DR. JACK DAILEY DDS
NPI 1144150384
Dentist in Minneapolis, MN

Active since May 20, 2026
4103 E LAKE ST, MINNEAPOLIS, MN 55406(612) 721-2424 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Dailey Dds NPPES

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

DR. JACK DAILEY DDS (NPI 1144150384) is an individual dentist in Minneapolis, Minnesota, licensed in Minnesota (D15432) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1144150384
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACK DAILEYCredential: DDS
Location Address4103 E LAKE STMinneapolis, MN 55406-2259
Mailing Address6399 Barrie RdEdina, MN 55435-2201
Phone(612) 721-2424
Sole ProprietorNo
Enumeration DateMay 20, 2026
NPPES CertifiedMay 14, 2026
✔ NPI 1144150384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D15432
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4103 E LAKE ST, Minneapolis, MN 55406
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Other Providers at the Same Location NPPES 3

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

WEST RIVER DENTAL CARE
Dentist (General Practice)
4103 E LAKE ST
MINNEAPOLIS, MN 55406
Hennepin County (612) 721-2424
DR. MICHAEL P SKADRON DDS
Dentist (General Practice)
4103 E LAKE ST
MINNEAPOLIS, MN 55406
Hennepin County (612) 721-2424
HERITAGE TRANSPORTATION, INC.
Non-emergency Medical Transport (VAN)
4103 E LAKE ST
MINNEAPOLIS, MN 55406
Hennepin County (612) 728-8080

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 Jack Dailey's NPI number?

The NPI number for Jack Dailey is 1144150384. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Jack Dailey located?

Jack Dailey practices at 4103 E Lake St, Minneapolis, MN 55406. The listed phone number is (612) 721-2424.

What is Jack Dailey's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jack Dailey was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.