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Jacob Lee Dvorak, DT
Dental Therapist in Mankato, Minnesota
NPI 1174968028

Jacob Lee Dvorak is a Dental Therapist based in Cologne, MN. Jacob Lee Dvorak practices in Mankato, MN and has the professional credentials of DT. The NPI Number for Jacob Lee Dvorak is 1174968028 and holds a License No. DT23 (Minnesota).

The current practice location address for Jacob Lee Dvorak is 309 Holly Ln, Mankato, MN and can be reached out via phone at 507-388-2120. You can also correspond with Jacob Lee Dvorak through the mailing address at 2018 MEADOW ST, COLOGNE, MN - 55322-9069 (mailing address contact number: 952-836-6805).

Location: 309 Holly Ln, Mankato, MN, 55322-9069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174968028
Provider Name
Jacob Lee Dvorak
Credential
DT
Provider Entity Type
Individual
Gender
Male
Address
309 Holly Ln, Mankato, MN, 55322-9069
Phone Number
507-388-2120
Fax Number
Provider Enumeration Date
05/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
309 Holly Ln
City
Mankato
State
Minnesota
Zip
56001-5422
Phone Number
507-388-2120
Fax Number
person
Provider Business Mailing Address Details
Address
2018 Meadow St
City
Cologne
State
Minnesota
Zip
55322-9069
Phone Number
952-836-6805
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
DT23 (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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