Individual provider · Type 1 NPI

Alexa Nicole Weiss, LDH

Dental Therapist · Springfield, MN

NPI number 1255084166 Active

Practice location

602 N Jackson Ave
Springfield, MN 56087-4502

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000XH11217 (MN)
Dental Therapist Primary 125J00000XDT145 (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…

2 other providers at this address

About NPI 1255084166

Alexa Nicole Weiss, LDH's National Provider Identifier is 1255084166, issued on Jan 31, 2022. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Springfield, MN. The record was last updated on Jun 28, 2022.