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Gracie Isabella Comeau
Dental Therapist in Andover, Minnesota
NPI 1114627205

Gracie Isabella Comeau is a Dental Therapist based in Minneapolis, MN. Gracie Isabella Comeau practices in Andover, MN. The NPI Number for Gracie Isabella Comeau is 1114627205 and holds a License No. H11422 (Minnesota).

The current practice location address for Gracie Isabella Comeau is 2258 Bunker Lake Blvd Nw, Andover, MN and can be reached out via phone at 793-390-8995.

Location: 2258 Bunker Lake Blvd Nw, Andover, MN, 55416-3750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114627205
Provider Name
Gracie Isabella Comeau
Credential
Provider Entity Type
Individual
Gender
Female
Address
2258 Bunker Lake Blvd Nw, Andover, MN, 55416-3750
Phone Number
793-390-8995
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2258 Bunker Lake Blvd Nw
City
Andover
State
Minnesota
Zip
55304-3900
Phone Number
793-390-8995
Fax Number
person
Provider Business Mailing Address Details
Address
2258 Bunker Lake Blvd Nw
City
Andover
State
Minnesota
Zip
55304-3900
Phone Number
793-390-8995
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
DT164 (Minnesota)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
H11422 (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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