Individual provider · Type 1 NPI
Maureen O'Sullivan, ADT
Advanced Practice Dental Therapist · Roseville, MN
Practice location
385 S Owasso Blvd W
Roseville, MN 55113-2119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist | 124Q00000X | H9759 (MN) |
| Advanced Practice Dental Therapist Primary | 125K00000X | DT83 (MN) |
Advanced Practice Dental Therapist: An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability f…
Another provider at this address
About NPI 1619435682
Maureen O'Sullivan, ADT's National Provider Identifier is 1619435682, issued on Mar 7, 2019. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in Roseville, MN. The record was last updated on Jun 19, 2020.