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Peter Roland Degallier, DENTALTHERAPIST
Dental Therapist in Winona, Minnesota
NPI 1124663109

Peter Roland Degallier is a Dental Therapist based in Winona, MN. Peter Roland Degallier practices in Winona, MN and has the professional credentials of DENTALTHERAPIST. The NPI Number for Peter Roland Degallier is 1124663109 and holds a License No. DT117 (Minnesota).

The current practice location address for Peter Roland Degallier is 720 E Highway 61, Winona, MN and can be reached out via phone at 507-452-9453. You can also correspond with Peter Roland Degallier through the mailing address at 720 E HIGHWAY 61, WINONA, MN - 55987-5300 (mailing address contact number: 507-452-9453).

Location: 720 E Highway 61, Winona, MN, 55987-5300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124663109
Provider Name
Peter Roland Degallier
Credential
DENTALTHERAPIST
Provider Entity Type
Individual
Gender
Male
Address
720 E Highway 61, Winona, MN, 55987-5300
Phone Number
507-452-9453
Fax Number
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497784342 01 MN NPI
1992930556 01 MN NPI
1801957758 01 MN NPI
institution
Provider Business Practice Location Address Details
Address
720 E Highway 61
City
Winona
State
Minnesota
Zip
55987-5300
Phone Number
507-452-9453
Fax Number
person
Provider Business Mailing Address Details
Address
720 E Highway 61
City
Winona
State
Minnesota
Zip
55987-5300
Phone Number
507-452-9453
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
DT117 (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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