person
Nicole Mathew, DT
Dental Therapist in Minneapolis, Minnesota
NPI 1073013322

Nicole Mathew is a Dental Therapist based in Minneapolis, MN. Nicole Mathew practices in Minneapolis, MN and has the professional credentials of DT. The NPI Number for Nicole Mathew is 1073013322 and holds a License No. DT96 (Minnesota).

The current practice location address for Nicole Mathew is 636 Broadway St Ne, Minneapolis, MN and can be reached out via phone at 612-746-1530 and via fax at 612-746-1531.

Location: 636 Broadway St Ne, Minneapolis, MN, 55413-2164
person
Provider Profile Details
NPI Number
1073013322
Provider Name
Nicole Mathew
Credential
DT
Provider Entity Type
Individual
Gender
Female
Address
636 Broadway St Ne, Minneapolis, MN, 55413-2164
Phone Number
612-746-1530
Fax Number
612-746-1531
Provider Enumeration Date
02/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
636 Broadway St Ne
City
State
Zip
55413-2164
Phone Number
612-746-1530
Fax Number
612-746-1531
person
Provider Business Mailing Address Details
Address
636 Broadway St Ne
City
State
Zip
55413-2164
Phone Number
612-746-1530
Fax Number
612-746-1531
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
License No.
DT96 (Minnesota)
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
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