Individual provider · Type 1 NPI

Jacob Lee Dvorak, DT

Dental Therapist · Mankato, MN

NPI number 1174968028 Active

Practice location

309 Holly Ln
Mankato, MN 56001-5422

Call (507) 388-2120 Map

Mailing address

2018 Meadow St
Cologne, MN 55322-9069

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT23 (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…

33 other providers at this address

Other dental therapist providers in Mankato

See all in Mankato →

About NPI 1174968028

Jacob Lee Dvorak, DT's National Provider Identifier is 1174968028, issued on May 6, 2013. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Mankato, MN. The record was last updated on May 6, 2013.