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Alyssa Klugman, ADT,LDH
Dental Therapist in Fergus Falls, Minnesota
NPI 1568088466

Alyssa Klugman is a Dental Therapist based in Fergus Falls, MN. Alyssa Klugman practices in Fergus Falls, MN and has the professional credentials of ADT,LDH. The NPI Number for Alyssa Klugman is 1568088466 and holds a License No. H9901 (Minnesota).

The current practice location address for Alyssa Klugman is 327 Western Ave Ste A, Fergus Falls, MN and can be reached out via phone at 218-998-2218. You can also correspond with Alyssa Klugman through the mailing address at 327 WESTERN AVE STE A, FERGUS FALLS, MN - 56537-2403 (mailing address contact number: 218-998-2218).

Location: 327 Western Ave Ste A, Fergus Falls, MN, 56537-2403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568088466
Provider Name
Alyssa Klugman
Credential
ADT,LDH
Provider Entity Type
Individual
Gender
Female
Address
327 Western Ave Ste A, Fergus Falls, MN, 56537-2403
Phone Number
218-998-2218
Fax Number
Provider Enumeration Date
06/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
327 Western Ave Ste A
City
Fergus Falls
State
Minnesota
Zip
56537-2403
Phone Number
218-998-2218
Fax Number
person
Provider Business Mailing Address Details
Address
327 Western Ave Ste A
City
Fergus Falls
State
Minnesota
Zip
56537-2403
Phone Number
218-998-2218
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
DT133 (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.
H9901 (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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