Individual provider · Type 1 NPI

Shana Marie Buerck, LDH, DT

Dental Therapist · Mounds View, MN

NPI number 1265213441 Active

Practice location

2442 County Hwy 10
Mounds View, MN 55112

Mailing address

108 Bichner Ln
Mahtomedi, MN 55115-6810

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT159 (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…

Another provider at this address

About NPI 1265213441

Shana Marie Buerck, LDH, DT's National Provider Identifier is 1265213441, issued on Oct 12, 2023. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Mounds View, MN. The record was last updated on Oct 12, 2023.