Individual provider · Type 1 NPI
Julie Bonham
Dental Therapist · Little Falls, MN
Practice location
803 3rd St. SE, Suite 330
Little Falls, MN 56345
Mailing address
8960 Springbrook Dr NW Ste 150
Minneapolis, MN 55433-5810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Therapist Primary | 125J00000X | DT95 (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…
About NPI 1326548454
Julie Bonham's National Provider Identifier is 1326548454, issued on Feb 15, 2018. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Little Falls, MN. The record was last updated on Dec 5, 2018.