Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dmytro Tertytskyi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245089937

Dmytro Tertytskyi is a Student in an Organized Health Care Education/Training Program in Edina, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

7701 York Ave S Ste 240
Edina, MN 55435-5896
Phone: (651) 505-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D15072 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245089937
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 15, 2024
Last updated in NPPESAugust 16, 2025
Certification dateAugust 16, 2025
Mailing address9460 Ulysses St Ne Apt 320, Minneapolis, MN 55434-3502

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