Individual provider · Type 1 NPI
Lydia J. Diekmann, ADT
Advanced Practice Dental Therapist · Slayton, MN
Practice location
2711 Broadway Ave Ste A00
Slayton, MN 56172-1313
Fax (507) 836-1008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Advanced Practice Dental Therapist Primary | 125K00000X | DT37 (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…
About NPI 1144733130
Lydia J. Diekmann, ADT's National Provider Identifier is 1144733130, issued on Nov 13, 2017. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in Slayton, MN. The record was last updated on Nov 13, 2017.