OrganizationActive
Professional Drive Dental Group P.A.
NPI 1164446282 · General Practice Dentistry · Northfield, MN
Provider details
- NPI number
- 1164446282
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jerome Appeldoorn, President(507) 645-5264
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Professional Dr
Northfield, MN 55057-2755
Phone: (507) 645-5264
Fax: (507) 663-0303
Street-level locationGet directions
Mailing address
600 Professional Dr
Northfield, MN 55057-2755
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2013-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.