Miranda Thacker, DDS - Dentist in Minneapolis, MN

Miranda Thacker, DDS is a Dentist - Pediatric Dentistry based in Minneapolis, Minnesota. Miranda Thacker is licensed to practice in Minnesota (license number D15303) and her current practice location is 701 25th Ave S Ste 400, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at (612) 626-7232.

NPI number for Miranda Thacker is 1710876578 and her current mailing address is 8994 Neill Lake Rd, Eden Prairie, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710876578.

Contact Information

Miranda Thacker, DDS
701 25th Ave S Ste 400,
Minneapolis, MN 55454-1443
(612) 626-7232
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMiranda Thacker
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location701 25th Ave S Ste 400, Minneapolis, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710876578
  • Provider Enumeration Date: 06/28/2025
  • Last Update Date: 06/28/2025

Medical Identifiers

Medical identifiers for Miranda Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710876578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry D15303 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miranda Thacker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miranda Thacker, DDS
8994 Neill Lake Rd,
Eden Prairie, MN 55347-2036

Ph: () -
Miranda Thacker, DDS
701 25th Ave S Ste 400,
Minneapolis, MN 55454-1443

Ph: (612) 626-7232

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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