Park Xiong - Minneapolis, MN

Park Xiong

Dental Therapist in Minneapolis, Minnesota

NPI 1477145449

Park Xiong is a Dental Therapist based in Inver Grove Heights, MN. Park Xiong practices in Minneapolis, MN. The NPI Number for Park Xiong is 1477145449 and holds a License No. DT135 (Minnesota).

The current practice location address for Park Xiong is 636 Broadway St Ne, Minneapolis, MN and can be reached out via phone at 612-746-1530.

Location: 636 Broadway St Ne, Minneapolis, MN, 55076-1158

NPI Number

1477145449

Provider Name

Park Xiong

Credential

Provider Entity Type

Individual

Gender

Male

Address

636 Broadway St Ne, Minneapolis, MN, 55076-1158

Phone Number

612-746-1530

Fax Number

Provider Enumeration Date

02/10/2021

Last Update Date

03/10/2024

Address

636 Broadway St Ne

City

Minneapolis

State

Minnesota

Zip

55413-2164

Phone Number

612-746-1530

Fax Number

Address

636 Broadway St Ne

City

Minneapolis

State

Minnesota

Zip

55413-2164

Phone Number

612-746-1530

Fax Number

Type

Dental Providers

Classification

Dental Therapist

Speciality

Taxonomy

125J00000X

License No.

DT135 (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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