Individual provider · Type 1 NPI
Sunny Moon, DT
Dental Therapist · Bloomington, MN
Practice location
10584 France Ave S
Bloomington, MN 55431-3538
Mailing address
636 Broadway St NE
Minneapolis, MN 55413-2164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Therapist Primary | 125J00000X | DT98 (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…
4 other providers at this address
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About NPI 1487154092
Sunny Moon, DT's National Provider Identifier is 1487154092, issued on Feb 20, 2018. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Bloomington, MN. The record was last updated on Feb 13, 2020.