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Amber Nichelle Irby, MDT
Dental Therapist in Rochester, Minnesota
NPI 1487264446

Amber Nichelle Irby is a Dental Therapist based in Rochester, MN. Amber Nichelle Irby practices in Rochester, MN and has the professional credentials of MDT. The NPI Number for Amber Nichelle Irby is 1487264446 and holds a License No. DT129 (Minnesota).

The current practice location address for Amber Nichelle Irby is 903 W Center St #130, Rochester, MN and can be reached out via phone at 507-529-0436 and via fax at 507-529-0435.

Location: 903 W Center St #130, Rochester, MN, 55901-7012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487264446
Provider Name
Amber Nichelle Irby
Credential
MDT
Provider Entity Type
Individual
Gender
Female
Address
903 W Center St #130, Rochester, MN, 55901-7012
Phone Number
507-529-0436
Fax Number
507-529-0435
Provider Enumeration Date
08/05/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 NA
institution
Provider Business Practice Location Address Details
Address
903 W Center St #130
City
Rochester
State
Minnesota
Zip
55902
Phone Number
507-529-0436
Fax Number
507-529-0435
person
Provider Business Mailing Address Details
Address
903 W Center St #130
City
Rochester
State
Minnesota
Zip
55902
Phone Number
507-529-0436
Fax Number
507-529-0435
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
DT129 (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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