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Kylie Anderson
Dental Therapist in Minneapolis, Minnesota
NPI 1225689060

Kylie Anderson is a Dental Therapist based in Andover, MN. Kylie Anderson practices in Minneapolis, MN. The NPI Number for Kylie Anderson is 1225689060 and holds a License No. H10758 (Minnesota).

The current practice location address for Kylie Anderson is 7500 42Nd Ave N, Minneapolis, MN and can be reached out via phone at 763-252-6350. You can also correspond with Kylie Anderson through the mailing address at 1531 159TH AVE NW, ANDOVER, MN - 55304-4563 (mailing address contact number: 763-381-2985).

Location: 7500 42Nd Ave N, Minneapolis, MN, 55304-4563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225689060
Provider Name
Kylie Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
7500 42Nd Ave N, Minneapolis, MN, 55304-4563
Phone Number
763-252-6350
Fax Number
Provider Enumeration Date
09/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7500 42Nd Ave N
City
Minneapolis
State
Minnesota
Zip
55427-1225
Phone Number
763-252-6350
Fax Number
person
Provider Business Mailing Address Details
Address
7500 42Nd Ave N
City
Minneapolis
State
Minnesota
Zip
55427-1225
Phone Number
763-252-6350
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
DT128 (Minnesota)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
H10758 (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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