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

Thomas John Cornelissen, DDS

Individual provider General Practice Dentistry · NPI 1053364513

Thomas John Cornelissen, DDS is a General Practice Dentistry in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

3262 W Lake St
Minneapolis, MN 55416-4512
Phone: (612) 925-6010
Fax: (612) 925-4907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9908 (MN)

Record details

NPI number1053364513
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESJuly 13, 2026
Mailing address3262 W Lake St, Minneapolis, MN 55416-4512

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