DR. THOMAS JEROME ZYVOLOSKI NPI 1649382771

NPI Information

  • NPI: 1649382771
  • Provider Name: DR. THOMAS JEROME ZYVOLOSKI
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 11475 ROBINSON DR NW
    COON RAPIDS, MN
    ZIP 55433
  • Phone: (763) 754-0041

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NPI Details

DR. Thomas Jerome Zyvoloski is a general practice dentist in Coon Rapids, MN. The provider is 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. DR. Thomas Jerome Zyvoloski NPI is 1649382771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11475 ROBINSON DR NW
COON RAPIDS, MN
ZIP 55433
Phone: (763) 754-0041
Fax: (763) 754-4506

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice10880MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1912323700MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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