Individual provider · Type 1 NPI

Peter Roland Degallier, DENTAL THERAPIST

Dental Therapist · Winona, MN

NPI number 1124663109 Active

Practice location

720 E Highway 61
Winona, MN 55987-5300

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT117 (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…

6 other providers at this address

About NPI 1124663109

Peter Roland Degallier, DENTAL THERAPIST's National Provider Identifier is 1124663109, issued on Nov 13, 2019. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Winona, MN. The record was last updated on Nov 13, 2019.