Individual
DR. MICHAEL DEAN BAKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14635 PENNOCK AVE, SUITE 100, APPLE VALLEY, MN 55124-6430
(952) 432-5509
(952) 891-4894
Mailing address
14635 PENNOCK AVE STE 100, APPLE VALLEY, MN 55124-6431
(952) 432-5509
(952) 891-4894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10867
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08D73AP
BLUE CROSS BLUE SHIELD
MN
01
—
247492
CIGNA INSURANCE
MN
01
—
840892
UNITED CONCORDIA INSURANC
MN
Enumeration date
08/01/2006
Last updated
01/01/2026
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