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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1720367394

Dr. Thomas Heidenreich, DDS is a Maxillofacial Surgery in Saint Cloud, Minnesota. Qualified in 2012, 14 years ago. Practices with Centrasota Oral and Maxillofacial Surgeons PA, a 6-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2011
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

3950 Veterans Dr Ste 100
Saint Cloud, MN 56303-3424
Phone: (320) 252-3611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence S169 (MN)

Record details

NPI number1720367394
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 12, 2011
Last updated in NPPESNovember 24, 2021
Certification dateNovember 11, 2021
Mailing addressCentrasota Oral Surgeons, 3950 Veterans Drive, Suite 100, St. Cloud, MN 56303

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesDENTIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Centrasota Oral And Maxillofacial Surgeons Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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