Individual provider · Type 1 NPI

Jodi Becker

Dental Therapist · Minneapolis, MN

NPI number 1164830949 Active

Practice location

636 Broadway St NE
Minneapolis, MN 55413-2164

Call (612) 746-1530 Map

Mailing address

3014 179th Ave NW
Andover, MN 55304-1231

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT49 (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 1164830949

Jodi Becker's National Provider Identifier is 1164830949, issued on Jul 24, 2014. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 24, 2014.