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Pamela D Moon
Dental Therapist in Richfield, Minnesota
NPI 1972991552

Pamela D Moon is a Dental Therapist based in Richfield, MN. Pamela D Moon practices in Richfield, MN. The NPI Number for Pamela D Moon is 1972991552 and holds a License No. DT16 (Minnesota).

The current practice location address for Pamela D Moon is 6600 Lyndale Ave S, Richfield, MN and can be reached out via phone at 612-243-8999.

Location: 6600 Lyndale Ave S, Richfield, MN, 55423-2373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972991552
Provider Name
Pamela D Moon
Credential
Provider Entity Type
Individual
Gender
Female
Address
6600 Lyndale Ave S, Richfield, MN, 55423-2373
Phone Number
612-243-8999
Fax Number
Provider Enumeration Date
01/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6600 Lyndale Ave S
City
Richfield
State
Minnesota
Zip
55423-3380
Phone Number
612-243-8999
Fax Number
person
Provider Business Mailing Address Details
Address
6600 Lyndale Ave S
City
Richfield
State
Minnesota
Zip
55423-3380
Phone Number
612-243-8999
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
DT16 (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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