Individual provider · Type 1 NPI
Anna Dierking, DDS
Student in an Organized Health Care Education/Training Program · St. Paul, MN
NPI number
1215501754
Active
Practice location
12 Long Lake Rd Ste 12
St. Paul, MN 55115-1200
Other practice locations
- 1670 Beam Ave Ste 204, Maplewood, MN 55109-1227 · (651) 925-8400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1215501754
Anna Dierking, DDS's National Provider Identifier is 1215501754, issued on May 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 9, 2022.