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Christy Jo Fogarty, RDH,ADT
Dental Therapist in Minneapolis, Minnesota
NPI 1649550260

Christy Jo Fogarty is a Dental Therapist based in Minneapolis, MN. Christy Jo Fogarty practices in Minneapolis, MN and has the professional credentials of RDH,ADT. The NPI Number for Christy Jo Fogarty is 1649550260 and holds a License No. H5961 (Minnesota).

The current practice location address for Christy Jo Fogarty is 636 Broadway St Ne, Minneapolis, MN and can be reached out via phone at 612-746-1530 and via fax at 612-746-1531. You can also correspond with Christy Jo Fogarty through the mailing address at 636 BROADWAY ST NE, MINNEAPOLIS, MN - 55413-2164 (mailing address contact number: 612-746-1530).

Location: 636 Broadway St Ne, Minneapolis, MN, 55413-2164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649550260
Provider Name
Christy Jo Fogarty
Credential
RDH,ADT
Provider Entity Type
Individual
Gender
Female
Address
636 Broadway St Ne, Minneapolis, MN, 55413-2164
Phone Number
612-746-1530
Fax Number
612-746-1531
Provider Enumeration Date
08/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
636 Broadway St Ne
City
Minneapolis
State
Minnesota
Zip
55413-2164
Phone Number
612-746-1530
Fax Number
612-746-1531
person
Provider Business Mailing Address Details
Address
636 Broadway St Ne
City
Minneapolis
State
Minnesota
Zip
55413-2164
Phone Number
612-746-1530
Fax Number
612-746-1531
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
DT02 (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.
H5961 (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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