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

Dr. Shay Mieczkowski, DDS

Individual provider Dentist · NPI 1316515349

Dr. Shay Mieczkowski, DDS is a Dentist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

515 Delaware St SE
Minneapolis, MN 55455-0357
Phone: (612) 625-0402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D14549 (MN)

Record details

NPI number1316515349
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESJune 15, 2021
Certification dateMay 20, 2021
Mailing address1019 29th Ave Se Apt E, Minneapolis, MN 55414-2762

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