Individual provider · Type 1 NPI

Renee Larson, ADT

Dental Therapist · Marshall, MN

NPI number 1467985010 Active

Practice location

401 Jewett St
Marshall, MN 56258-2605

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT53 (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 1467985010

Renee Larson, ADT's National Provider Identifier is 1467985010, issued on Apr 10, 2017. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Marshall, MN. The record was last updated on May 8, 2026.