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Mr. Drew James Christianson, MDT
Dental Therapist in Maple Grove, Minnesota
NPI 1164836334

Drew James Christianson is a Dental Therapist based in Maple Grove, MN. Drew James Christianson practices in Maple Grove, MN and has the professional credentials of MDT. The NPI Number for Drew James Christianson is 1164836334 and holds a License No. DT45 (Minnesota).

The current practice location address for Drew James Christianson is 12936 63Rd Ave N, Maple Grove, MN and can be reached out via phone at 763-559-3400.

Location: 12936 63Rd Ave N, Maple Grove, MN, 55369-6001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164836334
Provider Name
Drew James Christianson
Credential
MDT
Provider Entity Type
Individual
Gender
Male
Address
12936 63Rd Ave N, Maple Grove, MN, 55369-6001
Phone Number
763-559-3400
Fax Number
Provider Enumeration Date
06/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12936 63Rd Ave N
City
Maple Grove
State
Minnesota
Zip
55369-6001
Phone Number
763-559-3400
Fax Number
person
Provider Business Mailing Address Details
Address
12936 63Rd Ave N
City
Maple Grove
State
Minnesota
Zip
55369-6001
Phone Number
763-559-3400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
DT45 (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.
DT45 (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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