Individual provider · Type 1 NPI

Gemma Shirani Mosher, ADT124/LDH7581

Dental Therapist · Coon Rapids, MN

NPI number 1104436138 Active

Practice location

8960 Springbrook Dr NW
Coon Rapids, MN 55433-5852

Call (763) 600-6800 Map

Fax (763) 784-5978

Mailing address

8960 Springbrook Dr NW Ste 150
Coon Rapids, MN 55433-5810

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT124 (MN)

Dental Therapist: 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 therap…

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About NPI 1104436138

Gemma Shirani Mosher, ADT124/LDH7581's National Provider Identifier is 1104436138, issued on Aug 4, 2020. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Apr 24, 2024.