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Mrs. Maureen O'sullivan, ADT
Advanced Practice Dental Therapist in Roseville, Minnesota
NPI 1619435682

Maureen O'sullivan is an Advanced Practice Dental Therapist based in Roseville, MN. Maureen O'sullivan practices in Roseville, MN and has the professional credentials of ADT. The NPI Number for Maureen O'sullivan is 1619435682 and holds a License No. H9759 (Minnesota).

The current practice location address for Maureen O'sullivan is 385 S Owasso Blvd W, Roseville, MN and can be reached out via phone at 612-801-5203. You can also correspond with Maureen O'sullivan through the mailing address at 385 S OWASSO BLVD W, ROSEVILLE, MN - 55113-2119 (mailing address contact number: 612-801-5203).

Location: 385 S Owasso Blvd W, Roseville, MN, 55113-2119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619435682
Provider Name
Maureen O'sullivan
Credential
ADT
Provider Entity Type
Individual
Gender
Female
Address
385 S Owasso Blvd W, Roseville, MN, 55113-2119
Phone Number
612-801-5203
Fax Number
Provider Enumeration Date
03/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
385 S Owasso Blvd W
City
Roseville
State
Minnesota
Zip
55113-2119
Phone Number
612-801-5203
Fax Number
person
Provider Business Mailing Address Details
Address
385 S Owasso Blvd W
City
Roseville
State
Minnesota
Zip
55113-2119
Phone Number
612-801-5203
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
DT83 (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
Advanced Practice Dental Therapist
Speciality
-
Taxonomy
125K00000X
License No.
H9759 (Minnesota)
Definition
An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.<br/>The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
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