What is Scott Koidahl's NPI number?

Scott Koidahl's National Provider Identifier (NPI) is 1619030830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Scott Koidahl's specialty?

Scott Koidahl is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Scott Koidahl located?

Scott Koidahl's practice location on file with NPPES is 825 Nicollet Mall, Minneapolis, MN 55402-2606.

What is Scott Koidahl's phone number?

The practice phone number listed in the NPPES registry for Scott Koidahl is (612) 339-5808.

Is Scott Koidahl's NPI active?

Yes — Scott Koidahl's NPI (1619030830) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Scott Koidahl, DDS

NPI 1619030830 · General Practice Dentistry · Minneapolis, MN

Scott Koidahl, DDS is a General Practice Dentistry provider in Minneapolis, MN (NPI 1619030830).

Provider details

NPI number: 1619030830
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 9024 (MN)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 9024 (MN)
Dental Providers

Profile Score

Detailed profile(90/100 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

825 Nicollet Mall

Suite 731

Minneapolis, MN 55402-2606

Phone: (612) 339-5808

Street-level locationGet directions

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Mailing address