Phonsuda Chanthavisouk, RDH, MDT - Minneapolis, MN

Phonsuda Chanthavisouk, RDH,MDT

Dental Hygienist in Minneapolis, Minnesota

NPI 1548844053

Phonsuda Chanthavisouk is a Dental Hygienist based in Minneapolis, MN. Phonsuda Chanthavisouk practices in Minneapolis, MN and has the professional credentials of RDH,MDT. The NPI Number for Phonsuda Chanthavisouk is 1548844053 and holds a License No. DT137 (Minnesota).

The current practice location address for Phonsuda Chanthavisouk is 728 E Hennepin Ave, Minneapolis, MN and can be reached out via phone at 612-746-1530.

Location: 728 E Hennepin Ave, Minneapolis, MN, 55423-1728

NPI Number

1548844053

Provider Name

Phonsuda Chanthavisouk

Credential

RDH,MDT

Provider Entity Type

Individual

Gender

Female

Address

728 E Hennepin Ave, Minneapolis, MN, 55423-1728

Phone Number

612-746-1530

Fax Number

Provider Enumeration Date

05/11/2021

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
DT137	05	MN

Address

728 E Hennepin Ave

City

Minneapolis

State

Minnesota

Zip

55414-1126

Phone Number

612-746-1530

Fax Number

Address

728 E Hennepin Ave

City

Minneapolis

State

Minnesota

Zip

55414-1126

Phone Number

612-746-1530

Fax Number

Type

Dental Providers

Classification

Dental Hygienist

Speciality

Taxonomy

124Q00000X

License No.

H11002 (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.

Type

Dental Providers

Classification

Dental Therapist

Speciality

Taxonomy

125J00000X

License No.

DT137 (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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