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Dmytro Tertytskyi

Dentist β€’ Edina, MN

Active NPI 1245089937 Individual Practitioner Male Practitioner
Practice location in NPPES

7701 York Ave S Ste 240
Edina, MN 554355896

Call 6515055900 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7701 York Ave S Ste 240

Edina, MN 554355896

Telephone 6515055900

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Edina and Minnesota

31 active clinicians are listed under Dentist with a practice address in Edina, MN (1,796 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Edina

0% of these 31 clinicians have the CMS telehealth indicator.

0% of these 31 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES MN D15072

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1417418690

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 16, 2025

Registered at 7701 YORK AVE S STE 240, EDINA, MN 554355896 (Tel: 6515055900)

πŸ“
Updated Business Mailing Address August 16, 2025

Registered at 9460 ULYSSES ST NE APT 320, MINNEAPOLIS, MN 554343502 (Tel: 6466594428)

βœ…
NPI Profile Active June 02, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 02, 2024

Registered at 3570 RIVER RAPIDS DR NW, COON RAPIDS, MN 554484100 (Tel: 6515231093)

πŸ“
Business Mailing Address (Initial Record) June 02, 2024

Registered at 1036 27TH AVE SE APT D, MINNEAPOLIS, MN 554142732 (Tel: 6466594428)

πŸ‘€
Provider Name / Credentials (Initial Record) June 02, 2024

Recorded as DMYTRO TERTYTSKYI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 15, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245089937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2024
Last Update: August 16, 2025
Sole Proprietor: Yes

Other Dentists in Edina

All Dentists in Edina

Mailing Address

9460 Ulysses St Ne Apt 320

Minneapolis, MN 554343502

Phone: 6466594428

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.