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Dr. Mitchell Haberman , DDS

Dentist - General Practice β€’ Saint Paul, MN

Active NPI 1710723234 Individual Practitioner Male Practitioner
Practice location in NPPES

4700 Lexington Ave N
Saint Paul, MN 551265867

Call 5076764997 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

4700 Lexington Ave N

Saint Paul, MN 551265867

Telephone 5076764997

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 Saint Paul and Minnesota

118 active clinicians are listed under Dentist - General Practice with a practice address in Saint Paul, MN (2,178 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Paul

0% of these 118 clinicians have the CMS telehealth indicator.

0% of these 118 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: 2025-09-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MN 40782

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.

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

Career & Practice History Timeline

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

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2025

Dentist (license number reported to NPPES: MN 40782)

πŸ“
Updated Practice Location August 28, 2025

Registered at 4700 LEXINGTON AVE N, SAINT PAUL, MN 551265867 (Tel: 5076764997)

πŸ“
Updated Business Mailing Address August 28, 2025

Registered at 200 UNIVERSITY AVE SE UNIT 1405, MINNEAPOLIS, MN 554142150 (Tel: 5076764997)

βœ…
NPI Profile Active July 03, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 03, 2024

Registered at 7826 W US HIGHWAY 290 UNIT 102, AUSTIN, TX 787363261 (Tel: 5076764997)

πŸ“
Business Mailing Address (Initial Record) July 03, 2024

Registered at 1221 S CONGRESS AVE APT 1208, AUSTIN, TX 787042454 (Tel: 5076764997)

πŸ‘€
Provider Name / Credentials (Initial Record) July 03, 2024

Recorded as MITCHELL HABERMAN, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2024

Dentist (license number reported to NPPES: TX 40782)

🟒
Initial NPI Registration & Enumeration July 03, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710723234
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2024
Last Update: September 19, 2025
Sole Proprietor: No

Other Dentist - General Practices in Saint Paul

All Dentist - General Practices in Saint Paul

Mailing Address

200 University Ave Se Unit 1405

Minneapolis, MN 554142150

Phone: 5076764997

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.