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MRS. MADISON RAE DICKOVICH DMD
NPI 1952985574
Dentist - General Practice in Rochester, MN

Active since May 10, 2021
2056 SUPERIOR DR NW, ROCHESTER, MN 55901(507) 315-4015 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2022, May 10, 2021 (2 updates tracked since 2021).

About Mrs. Madison Rae Dickovich Dmd NPPES

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

MRS. MADISON RAE DICKOVICH DMD (NPI 1952985574) is an individual general practice provider in Rochester, Minnesota, licensed in Minnesota (D14584) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1952985574
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMRS. MADISON RAE DICKOVICHCredential: DMD
Location Address2056 SUPERIOR DR NWRochester, MN 55901-5024
Mailing Address16299 Stemmer Ridge Rd NwShakopee, MN 55379-9476 · (952) 797-3238
Phone(507) 315-4015
Sole ProprietorNo
Enumeration DateMay 10, 2021
Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1952985574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D14584
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2056 SUPERIOR DR NW, Rochester, MN 55901
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Other Names 1

Former Name (1)Miss Madison Bergeron

Other Providers at the Same Location NPPES 6

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

JONGSEUK LIM DDS
Dentist (General Practice)
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 710-3616
ASHLY MATZEK DMD
Dentist (General Practice)
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 203-2332
NORTHWEST DENTAL GROUP
Dentist (General Practice)
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 289-3921
DR. KATHRYN E ALBIN DDS
Dentist
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 289-3921
RUO-HSUAN CHEN DMD
Dentist (General Practice)
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 315-2932
MINNESOTA SLEEP DENTISTRY PLLC
Dentist (General Practice)
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 289-3921

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 Madison Dickovich's NPI number?

The NPI number for Madison Dickovich is 1952985574. It was assigned to this individual provider in the NPPES registry on May 10, 2021. The provider is also known as Miss Madison Bergeron.

Where is Madison Dickovich located?

Madison Dickovich practices at 2056 Superior Dr NW, Rochester, MN 55901. The listed phone number is (507) 315-4015.

What is Madison Dickovich's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Dickovich was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.