Individual provider · Type 1 NPI

Sondra Nickolson, R.D.H., M.E.D.

Dental Hygienist · Minneapolis, MN

NPI number 1023348869 Active

Practice location

636 Broadway St NE
Minneapolis, MN 55413-2164

Call (612) 746-1530 Map

Fax (612) 746-1531

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH5092 (MN)

Dental Hygienist: 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…

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About NPI 1023348869

Sondra Nickolson, R.D.H., M.E.D.'s National Provider Identifier is 1023348869, issued on Dec 29, 2009. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 29, 2009.