Individual provider · Type 1 NPI

Amber Nichelle Irby, MDT

Dental Therapist · Rochester, MN

NPI number 1487264446 Active

Practice location

903 W Center St #130
Rochester, MN 55902

Fax (507) 529-0435

Mailing address

3035 Brittany Ln NW Apt C
Rochester, MN 55901-7012

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT129 (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 1487264446

Amber Nichelle Irby, MDT's National Provider Identifier is 1487264446, issued on Aug 5, 2020. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Rochester, MN. The record was last updated on Aug 5, 2020.