Individual provider · Type 1 NPI
Everaid Ubangoh Fokim, MDT
Dental Therapist · Coon Rapids, MN
Practice location
9920 Foley Blvd NW
Coon Rapids, MN 55433-4579
Mailing address
2312 7th St N
North St. Paul, MN 55109-2845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist | 124Q00000X | H10783 (MN) |
| Dental Therapist Primary | 125J00000X | DT130 (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
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About NPI 1316617491
Everaid Ubangoh Fokim, MDT's National Provider Identifier is 1316617491, issued on Sep 20, 2021. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Sep 20, 2021.