Healthcare Provider Details

I. General information

NPI: 1245170588
Provider Name (Legal Business Name): THOMAS PERRY DENSINGER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 W 66TH ST STE 128
EDINA MN
55435-2109
US

IV. Provider business mailing address

3400 W 66TH ST STE 128
EDINA MN
55435-2109
US

V. Phone/Fax

Practice location:
  • Phone: 952-594-2296
  • Fax:
Mailing address:
  • Phone: 952-395-2035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7418
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: