Jacob Lee Dvorak, DT - Mankato, MN

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.

Location: 309 Holly Ln, Mankato, MN, 55322-9069

NPI Number

1174968028

Provider Name

Jacob Lee Dvorak

Credential

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

Address

309 Holly Ln

City

Mankato

State

Minnesota

Zip

56001-5422

Phone Number

507-388-2120

Fax Number

Address

309 Holly Ln

City

Mankato

State

Minnesota

Zip

56001-5422

Phone Number

507-388-2120

Fax Number

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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