Individual provider · Type 1 NPI

Alyssa Klugman, ADT, LDH

Dental Therapist · Fergus Falls, MN

NPI number 1568088466 Active

Practice location

327 Western Ave Ste A
Fergus Falls, MN 56537-2403

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000XH9901 (MN)
Dental Therapist Primary 125J00000XDT133 (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 1568088466

Alyssa Klugman, ADT, LDH's National Provider Identifier is 1568088466, issued on Jun 17, 2020. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Fergus Falls, MN. The record was last updated on Jul 17, 2023.