Individual provider · Type 1 NPI

Park Xiong

Dental Therapist · Minneapolis, MN

NPI number 1477145449 Active

Practice location

636 Broadway St NE
Minneapolis, MN 55413-2164

Call (612) 746-1530 Map

Mailing address

2590 49th St E
Inver Grove Heights, MN 55076-1158

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT135 (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 1477145449

Park Xiong's National Provider Identifier is 1477145449, issued on Feb 10, 2021. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 10, 2021.