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Sunny Moon, DT
Dental Therapist in Bloomington, Minnesota
NPI 1487154092

Sunny Moon is a Dental Therapist based in Minneapolis, MN. Sunny Moon practices in Bloomington, MN and has the professional credentials of DT. The NPI Number for Sunny Moon is 1487154092 and holds a License No. DT98 (Minnesota).

The current practice location address for Sunny Moon is 10584 France Ave S, Bloomington, MN and can be reached out via phone at 952-666-6000. You can also correspond with Sunny Moon through the mailing address at 636 BROADWAY ST NE, MINNEAPOLIS, MN - 55413-2164 (mailing address contact number: ).

Location: 10584 France Ave S, Bloomington, MN, 55413-2164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487154092
Provider Name
Sunny Moon
Credential
DT
Provider Entity Type
Individual
Gender
Female
Address
10584 France Ave S, Bloomington, MN, 55413-2164
Phone Number
952-666-6000
Fax Number
Provider Enumeration Date
02/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10584 France Ave S
City
Bloomington
State
Minnesota
Zip
55431-3538
Phone Number
952-666-6000
Fax Number
person
Provider Business Mailing Address Details
Address
10584 France Ave S
City
Bloomington
State
Minnesota
Zip
55431-3538
Phone Number
952-666-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
DT98 (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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