Individual provider · Type 1 NPI
Jenna Susanne Gauger, ADT
Dental Therapist · Glencoe, MN
Practice location
2100 11th St E
Glencoe, MN 55336-2625
Fax (320) 269-6408
Mailing address
209 South 1st Street
Montevideo, MN 56265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Therapist Primary | 125J00000X | DT55 (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 1124405857
Jenna Susanne Gauger, ADT's National Provider Identifier is 1124405857, issued on May 1, 2015. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Glencoe, MN. The record was last updated on Feb 23, 2022.