Provider Demographics
NPI:1972699056
Name:DRESEN, THOMAS MATTHEW (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MATTHEW
Last Name:DRESEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 RADIO DR STE 110
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-8445
Mailing Address - Country:US
Mailing Address - Phone:651-735-1585
Mailing Address - Fax:651-735-1287
Practice Address - Street 1:1000 RADIO DR STE 110
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-8445
Practice Address - Country:US
Practice Address - Phone:651-735-1585
Practice Address - Fax:651-735-1287
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WID108271223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics