Individual provider · Type 1 NPI

Jessica Marie Janssen

Advanced Practice Dental Therapist · Windom, MN

NPI number 1093631905 Active

Practice location

820 2nd Ave N Ste 2
Windom, MN 56101-1766

Mailing address

236 Lake Ave
Worthington, MN 56187-1527

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Dental Therapist Primary 125K00000XDT168 (MN)

Advanced Practice Dental Therapist: 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 f…

Another provider at this address

About NPI 1093631905

Jessica Marie Janssen's National Provider Identifier is 1093631905, issued on Jun 25, 2026. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in Windom, MN. The record was last updated on Jun 25, 2026.