Individual provider · Type 1 NPI
Jackie Callaway-Campbell, DT
Dental Therapist · Delano, MN
Practice location
405 Babcock Blvd E Ste 130
Delano, MN 55328-9144
Fax (763) 276-1411
Mailing address
414 7th St SE Apt 103
Minneapolis, MN 55414-1272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Therapist Primary | 125J00000X | DT136 (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 1326613787
Jackie Callaway-Campbell, DT's National Provider Identifier is 1326613787, issued on May 26, 2021. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Delano, MN. The record was last updated on May 26, 2021.