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Lucky Vang
Advanced Practice Dental Therapist in Saint Paul, Minnesota
NPI 1134637143

Lucky Vang is an Advanced Practice Dental Therapist based in Minneapolis, MN. Lucky Vang practices in Saint Paul, MN. The NPI Number for Lucky Vang is 1134637143 and holds a License No. DT71 (Minnesota).

The current practice location address for Lucky Vang is 409 Dunlap St N, Saint Paul, MN and can be reached out via phone at 651-290-9200. You can also correspond with Lucky Vang through the mailing address at 2228 E LAKE ST, MINNEAPOLIS, MN - 55407-4321 (mailing address contact number: ).

Location: 409 Dunlap St N, Saint Paul, MN, 55407-4321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134637143
Provider Name
Lucky Vang
Credential
Provider Entity Type
Individual
Gender
Male
Address
409 Dunlap St N, Saint Paul, MN, 55407-4321
Phone Number
651-290-9200
Fax Number
Provider Enumeration Date
01/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
409 Dunlap St N
City
Saint Paul
State
Minnesota
Zip
55104-4201
Phone Number
651-290-9200
Fax Number
person
Provider Business Mailing Address Details
Address
409 Dunlap St N
City
Saint Paul
State
Minnesota
Zip
55104-4201
Phone Number
651-290-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
DT71 (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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Advanced Practice Dental Therapist
Speciality
-
Taxonomy
125K00000X
License No.
DT71 (Minnesota)
Definition
An Advanced Practice Dental Therapist is:<br/>(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<br/>(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.<br/>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.
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