Taxonomy Code 125K00000X(125k00000x)
Advanced Practice Dental Therapist. Providers: 18

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Advanced Practice Dental Therapist Providers

NPI Name Type Address

1124483656

ADT Tanu Dhoopar

Individual

3152 Minnehaha Ave

Minneapolis, MN

1073872503

MRS. ADT Brieanne Kelsey Borntrager

Individual

13899 Hwy 13 S Frnt Rd

Savage, MN

1083970750

MRS. DT Danae Marie Seyffer

Individual

2001 Bloomington Ave

Minneapolis, MN

1063953032

Ashley Hueman

Individual

973 Skyline Dr Sw

Rochester, MN

1033642947

ADT Lauren Johnson

Individual

1575 20th St Nw

Suite 102

Faribault, MN

1144733130

ADT Lydia J Diekmann

Individual

2711 Broadway Ave Ste A00

Slayton, MN

1912410853

Kaley Voltz

Individual

2001 W Lincoln Ave

Fergus Falls, MN

1407000490

ADT Jodi Lynn Hager

Individual

115 Drew Ave Se

Suite 202

Madelia, MN

1023541695

A.D.T Carley Banks

Individual

1575 20th St Nw

Faribault, MN

1871747865

ADT, RDH Heather Joan Heathcote Luebben

Individual

8600 Nicollet Ave S

Bloomington, MN

1548631187

Kaitlin Siewert

Individual

520 Main Street

Hawley, MN

1164706347

MRS. RDH, DT, ADT Terani Rose Harris

Individual

601 Highway 73

Floodwood, MN

1528509510

ADT Phong Nguyen

Individual

1213 E Franklin Ave

Minneapolis, MN

1578117438

MRS. A D.T., DH Christina Marie Hubred

Individual

Miskovich Dental Clinic

1121 Se 4th Avenue

Grand Rapids, MN

1619435682

MRS. ADT Maureen O'sullivan

Individual

385 S Owasso Blvd W

Roseville, MN

1821652710

LDH ADT Haley Lea Thomas

Individual

115 Drew Ave Se

Madelia, MN

1164836334

MR. MDT Drew James Christianson

Individual

12936 63rd Ave N

Maple Grove, MN

1134637143

Lucky Vang

Individual

409 Dunlap St N

Saint Paul, MN

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 125K00000X
Display Name Advanced Practice Dental Therapist
Taxonomy Group Dental Providers
Taxonomy Classification Advanced Practice Dental Therapist
Definition An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.
The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
Effective Date September 30, 2009
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207PH0002X • providers: 156

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364SA2200X • providers: 1,410

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