Dmytro Tertytskyi

Primary specialty

DentistTaxonomy code 122300000X

License

D15072 Issued in MN

Practice address

7701 York Ave S Ste 240
Edina, MN 55435-5896

Phone

(651) 505-5900

NPI assigned

May 15, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1245089937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 ULYSSES ST NE APT 320",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554343502",
            "telephone_number": "646-659-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 YORK AVE S STE 240",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355896",
            "telephone_number": "651-505-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERTYTSKYI",
        "first_name": "DMYTRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D15072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtis Lee Tedesco, M.D.
• Thomas Michael Tedford, M.D.
• Michelle Teigen, CRNA
• Thomas P Telander, DDS
• Sydney Teragawa, OPTOMETRIST
• Ned K Tervola, ATC
• Walter Frederick Teske, DDS
• Jennifer Ann Tessmer-Tuck, MD
• Joseph Thomas Teynor, M.D.
• Jenny L Thacker, MD

• Dentist in Edina, MN
• Providers in Edina, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.