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

Miranda Thacker, DDS

Individual provider Pediatric Dentistry · NPI 1710876578

Miranda Thacker, DDS is a Pediatric Dentistry in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025
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

701 25th Ave S Ste 400
Minneapolis, MN 55454-1443
Phone: (612) 626-7232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D15303 (MN)

Record details

NPI number1710876578
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 28, 2025
Last updated in NPPESJune 28, 2025
Certification dateJune 28, 2025
Mailing address8994 Neill Lake Rd, Eden Prairie, MN 55347-2036

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