Individual provider · Type 1 NPI

Andrew Halverson, MDT

Dental Therapist · St. Paul, MN

NPI number 1295266476 Active

Practice location

450 Syndicate St N, #300
St. Paul, MN 55104-4107

Call (651) 254-7374 Map

Mailing address

2651 Innsbruck Ct
New Brighton, MN 55112-6364

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000X82 (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 1295266476

Andrew Halverson, MDT's National Provider Identifier is 1295266476, issued on Mar 21, 2017. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in St. Paul, MN. The record was last updated on Mar 21, 2017.