Individual provider · Type 1 NPI

Sharon K. Kettler, RDH

Dental Hygienist · Prior Lake, MN

NPI number 1083628515 Active

Practice location

2330 Sioux Trl NW
Prior Lake, MN 55372-9077

Fax (952) 233-4224

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH5650 (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…

15 other providers at this address

About NPI 1083628515

Sharon K. Kettler, RDH's National Provider Identifier is 1083628515, issued on Jul 28, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Prior Lake, MN. The record was last updated on Jul 8, 2007.